体外受精导致的9周多胎妊娠子宫嵌顿。病例报告。
Uterine incarceration in a 9-week multifetal pregnancy resulting from in vitro fertilization. A case report.
作者信息
Childs Alex J, Goldkrand John W
机构信息
Department of Obstetrics and Gynecology, Memorial Health University Medical Center, Mercer University School of Medicine, Savannah, Georgia, USA.
出版信息
J Reprod Med. 2003 Dec;48(12):992-4.
BACKGROUND
Although retroversion of the uterus is a common finding, incarceration of the gravid uterus is a rare complication. It occurs usually between the 12th and 16th weeks of gestation and can lead to severe complications. No case of incarceration has been reported before in a multifetal gestation resulting from in vitro fertilization.
CASE
A 35-year-old woman with a triplet pregnancy presented at 9 weeks' gestation with acute urinary retention and was diagnosed with uterine incarceration. This diagnosis was confirmed by ultrasound and was resolved using transvaginal pressure under epidural anesthesia.
CONCLUSION
This is the first reported case of uterine incarceration in a triplet pregnancy that resulted from in vitro fertilization. There is no universal protocol for treatment of incarceration, but several techniques have been described.
背景
尽管子宫后倾是常见现象，但妊娠子宫嵌顿是一种罕见的并发症。它通常发生在妊娠第12至16周之间，可导致严重并发症。此前尚无体外受精导致的多胎妊娠发生子宫嵌顿的病例报道。
病例
一名35岁的三胎妊娠女性在妊娠9周时因急性尿潴留就诊，被诊断为子宫嵌顿。超声检查证实了这一诊断，并在硬膜外麻醉下通过经阴道施压得以解决。
结论
这是首例报道的体外受精导致的三胎妊娠子宫嵌顿病例。对于子宫嵌顿的治疗尚无通用方案，但已有多种技术被描述。
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