Lialios Georgios A, Kallitsaris Athanasios, Kabisios Theodoros, Messinis Ioannis E
Department of Obstetrics and Gynecology, University of Thessaly Medical School, Larissa, Greece.
Fertil Steril. 2008 Oct;90(4):1200.e15-7. doi: 10.1016/j.fertnstert.2007.11.070. Epub 2008 Mar 4.
To report a case of ruptured right heterotopic interstitial pregnancy diagnosed and managed laparoscopically by cornual resection.
Case report.
University tertiary care hospital.
PATIENT(S): A 29-year-old female Jehovah's Witness patient with first-trimester acute right lower quadrant abdominal pain.
INTERVENTION(S): Emergency laparoscopy was performed, and the site of bleeding was first clamped with a laparoscopic grasper. The lateral tissue was then coagulated and simultaneously transected with the bipolar-cutting probe for control of hemorrhage.
MAIN OUTCOME MEASURE(S): The early diagnosis of heterotopic interstitial pregnancy should enable a conservative approach, whether medical or surgical, to be undertaken when treating this rare and potentially fatal condition.
RESULT(S): The treatment of a ruptured heterotopic interstitial pregnancy by laparoscopy was successful with cornual resection.
CONCLUSION(S): Management of a ruptured interstitial pregnancy by laparoscopy was successful with cornual resection and minimal blood loss, and a coexiting intrauterine pregnancy continued satisfactorily.
报告一例通过腹腔镜行宫角切除术诊断和治疗的右侧异位间质部妊娠破裂病例。
病例报告。
大学三级护理医院。
一名29岁的女性耶和华见证会信徒，孕早期出现急性右下腹疼痛。
进行了急诊腹腔镜检查，首先用腹腔镜抓钳夹住出血部位。然后对侧方组织进行凝固，并同时用双极切割探头切断以控制出血。
异位间质部妊娠的早期诊断应能在治疗这种罕见且可能致命的疾病时采取保守治疗方法，无论是药物治疗还是手术治疗。
通过腹腔镜行宫角切除术成功治疗了破裂的异位间质部妊娠。
通过腹腔镜行宫角切除术成功治疗了破裂的间质部妊娠，失血极少，同时并存的宫内妊娠继续良好发展。
