حاملگي نابجاي داخل شكمي و گزارش مورد جالبي از آن

Intra Abdominal Ectopic Pregnancies and an Interesting Case Report about It

حاملگي شكمي يكي از نادرترين انواع حاملگي خارج رحمي مي‌باشد كه با ميزان ابتلا ومرگ و مير بالائي همراه است . در اين مقاله ضمن معرفي يك مورد غير‌عادي‌، حاملگي شكمي بطور جامع بررسي شده است.‌ بيمار براي پنجمين بار حامله شده بود، دردهاي زير شكم و علائم انسداد نسبي روده داشت. تشخيص حاملگي اكتوپيك مطرح وباسونوگرافي و راديوگرافي تائيد شد. درلاپاراتومي قوسي از ايلئوم حاوي قطعات استخواني جنين كه در لگن چسبيده بود مشاهده گرديد كه رزكسيون و آناستوموز شد و بيمار پس از بهبودي كامل مرخص گرديد.

One of the rarest types of ectopic pregnancy is abdominal form which has a high mortality and morbidity rate .An abnormal case of abdominal form is presented in this article . The patient is a 30-year-old multi - parous Afganian refugee who had a history of three previous normal pregnancies and deliveries .The Fourth Pregnancy, however , had been terminated by a piece of shrapnel. The 5th pregnancy was associated with lower abdominal pain and subocclusion symptoms. This case was diagnosed as an ectopic pregnancy which was confirmed by ultrasound and radiography . In Laparatomy a loop of terminal ileum containing fetal bones was observed .It was attached to pelvic bone Stracture. These bones were resected and necessery anastomosis was performed . The patient made complete recovery