自然受孕后发生的异位妊娠破裂合并对侧附件扭转
Ruptured ectopic pregnancy with contralateral adnexal torsion after spontaneous conception.
作者信息
DiLuigi Andrea J, Maier Donald B, Benadiva Claudio A
机构信息
Division of Reproductive Endocrinology and Infertility, The Center for Advanced Reproductive Services, University of Connecticut Health Center, Farmington, Connecticut 06030-6224, USA.
出版信息
Fertil Steril. 2008 Nov;90(5):2007.e1-3. doi: 10.1016/j.fertnstert.2008.01.053. Epub 2008 Mar 17.
OBJECTIVE
To describe a case of ruptured ectopic pregnancy and contralateral adnexal torsion after spontaneous conception.
DESIGN
Case report.
SETTING
Tertiary university medical center.
PATIENT(S): A 23-year-old multiparous female with severe bilateral pelvic pain and a positive pregnancy test.
INTERVENTION(S): Operative laparoscopy with detorsion of left adnexa, drainage of left ovarian hemorrhagic corpus luteum cyst, right salpingectomy, and dilation and curettage.
MAIN OUTCOME MEASURE(S): Laparoscopy revealed a 5 cm hemorrhagic corpus luteum cyst of the left ovary, torsion of the left ovary and fallopian tube, and a ruptured right ampullary ectopic pregnancy.
RESULT(S): Normal perfusion of left ovary and fallopian tube after detorsion, resolution of left ovarian hemorrhagic corpus luteum cyst, patent left fallopian tube with chromopertubation, and successful removal of ectopic pregnancy.
CONCLUSION(S): This is a unique case of adnexal torsion and contralateral ectopic pregnancy occurring after spontaneous conception.
目的
描述一例自然受孕后发生的异位妊娠破裂及对侧附件扭转病例。
设计
病例报告。
地点
三级大学医学中心。
患者
一名23岁经产妇，双侧盆腔剧痛，妊娠试验阳性。
干预措施
腹腔镜手术，包括松解左侧附件扭转、引流左侧卵巢出血性黄体囊肿、右侧输卵管切除术以及刮宫术。
主要观察指标
腹腔镜检查发现左侧卵巢有一个5厘米的出血性黄体囊肿、左侧卵巢及输卵管扭转，以及右侧壶腹部异位妊娠破裂。
结果
扭转松解后左侧卵巢及输卵管灌注正常，左侧卵巢出血性黄体囊肿消退，左侧输卵管经输卵管通液术显示通畅，异位妊娠成功切除。
结论
这是一例自然受孕后发生附件扭转及对侧异位妊娠的独特病例。
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