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Abdominal ektopisk graviditet

Forfatter(e)

Stine Kretzschmar Nielsen1,2, Charlotte Møller1 & Marianne Glavind-Kristensen1

1) Kvindesygdomme og Fødsler, Aarhus Universitetshospital

2) Kvindesygdomme og Fødsler, Regionshospitalet Horsens

Ugeskr Læger 2020;182:V08190467

Reference: 
UgeskrLæger 2020;182:V08190467
Blad nummer: 
Abdominal ectopic pregnancy

Stine Kretzschmar Nielsen, Charlotte Møller & Marianne Glavind-Kristensen:

Ugeskr Læger 2020;182:V08190467

This review summarises the knowledge of abdominal ectopic pregnancy (AEP), which is a rare condition with higher morbidity and mortalilty than other types of ectopic pregnancies. The condition can be primary, if the pregnancy implants directly on to an abdominal site, or it can be secondary after a tubar abortion. AEP differs from tubal pregnancies by a normal level of human chorionic gonadotropin and rare vaginal bleeding, which causes a diagnostic delay. In an early pregnancy the treatment is laparoscopic removal, but in second and third trimester pregnancies laparotomy is preferred, if possible preceded by MRI for mapping of vascular involvement and location of placenta.

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