1例83岁腹腔妊娠胎儿石化引起肠梗阻病例报告

A case report of intestinal obstruction caused by fetal fossilization in an 83-year-old abdominal pregnancy

腹腔妊娠是指植入腹膜腔的异位妊娠,发生率约为1/10000,而胎儿石化是一种罕见的腹腔妊娠,约占腹腔妊娠的1.5%~1.8%。在大多数情况下,胎儿石化可以由腹部X线确诊,通常是偶然发现,相关文献报道较少。目前报道的患者就诊年龄为23~100岁,有2/3患者就诊年龄>40岁。因石化的胎儿存留时间长,可导致肠梗阻、盆腔脓肿、直肠或阴道瘘、输卵管不孕等并发症。目前尚无胎儿石化合并肠梗阻病例的报道,本研究探讨本院1例83岁腹腔妊娠胎儿石化引起的肠梗阻病例,为临床此类病例诊断及治疗提供参考。

Abdominal pregnancy refers to ectopic pregnancy implanted in the peritoneal cavity,with an incidence of approximately 1/10000.Fetal petrification is a rare type of abdominal pregnancy,accounting for approximately 1.5%to 1.8%of abdominal pregnancies.In most cases,fetal fossilization can be diagnosed by abdominal X-ray,usually by chance,there are few relevant literature reports.At present,the reported age of patients seeking medical treatment is between 23 and 100 years old,with 2/3 of patients seeking medical treatment being over 40 years old.Due to the prolonged retention of petrified fetuses,it can lead to complications such as intestinal obstruction,pelvic abscess,rectal or vaginal fistula,and tubal infertility.At present,there are no reports of cases of fetal petrification combined with intestinal obstruction.This study explores a case of intestinal obstruction caused by fetal petrification in an 83 year old abdominal pregnancy in our hospital,providing reference for the diagnosis and treatment of such cases in clinical practice.