自然受孕后双侧输卵管妊娠：一例报告

Bilateral tubal pregnancy after natural conception: a case report.

作者信息

Marpeau Olivier, Barranger Emmanuel, Cortez Annie, Uzan Serge

机构信息

Department of Gynecology and Obstetrics, Hôpital Tenon, Assistance Publique des Hôpitaux de Paris, Paris, France.

出版信息

J Reprod Med. 2005 Mar;50(3):222-4.

PMID:15841939

Abstract

BACKGROUND

Bilateral tubal pregnancy is very rare and usually follows ovulation stimulation.

CASE

A 36-year-old woman with acute pelvic pain underwent emergency laparoscopy for suspected left ruptured tubal pregnancy. Bilateral hematosalpinx with a ruptured left tubal pregnancy and active bleeding from the right fallopian tube was noted during surgery, and bilateral salpingectomy was performed by laparoscopy. Pathologic examination of the left tube confirmed the presence of conception products and trophoblastic tissue. The right salpingectomy specimen contained some trophoblastic tissue resembling an earlier tubal pregnancy encased in a cyst.

CONCLUSION

This was a rare case of spontaneous bilateral tubal pregnancy after conception at different times. The explanation of the presentation is uncertain. Laparoscopy remains the cornerstone of diagnosis and treatment in the majority of women with a tubal pregnancy; this is especially true in complex cases, such as bilateral tubal pregnancy.

摘要

背景

双侧输卵管妊娠非常罕见，通常继发于排卵刺激。

病例

一名36岁急性盆腔疼痛的女性因疑似左侧输卵管妊娠破裂接受了急诊腹腔镜检查。手术中发现双侧输卵管积血，左侧输卵管妊娠破裂且右侧输卵管有活动性出血，遂通过腹腔镜进行了双侧输卵管切除术。左侧输卵管的病理检查证实存在妊娠产物和滋养层组织。右侧输卵管切除标本中含有一些类似早期输卵管妊娠包裹在囊肿中的滋养层组织。