Tubal ectopic pregnancies are commonly diagnosed during the first trimester. Here we present a second-trimester tubal ectopic pregnancy that was previously misdiagnosed as an intrauterine pregnancy on a first-trimester ultrasound. A 39-year-old gravida 1 para 0 woman at 15 weeks gestation presented with 10 days of progressive, severe abdominal pain, along with vaginal bleeding and intermittent vomiting for two months. She was ultimately found to have a ruptured left tubal ectopic pregnancy. Second-trimester ectopic pregnancies carry a significant maternal mortality risk. Even with the use of ultrasound, they are difficult to diagnose and present unique diagnostic challenges.
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机译:输卵管异位妊娠通常在孕早期诊断。在这里,我们介绍了一个孕中期输卵管异位妊娠,该妊娠先前在孕中期超声上被误诊为宫内妊娠。一名39岁的gravida 1 para 0妇女在妊娠15周时表现为10天的进行性严重腹痛,以及阴道流血和间歇性呕吐两个月。最终发现她的左输卵管异位妊娠破裂。孕中期异位妊娠具有重大的孕产妇死亡风险。即使使用超声波,它们也难以诊断并且提出了独特的诊断挑战。
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