Biggs R Lee, Magann Everett F, O'Boyle John D
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, Virginia 23708, USA.
J Reprod Med. 2008 May;53(5):378-81.
Concurrent ectopic pregnancy and acute appendicitis is rarely encountered. Since 1960, only 22 cases have been reported. No case of concurrent interstitial ectopic pregnancy and appendicitis has ever been reported.
A 24-year-old, African American woman, gravida 4, para 3, had a right interstitial ectopic pregnancy. She was managed as an inpatient with parenteral methotrexate and her beta-human chorionic gonadotropin level decreased appropriately. She was discharged 3 days after treatment but subsequently returned with right lower quadrant pain, nausea, vomiting and fever. The patient underwent laparoscopy with removal of a suppurative appendix. A stable interstitial ectopic pregnancy was visualized and left in situ.
The discipline to consider concomitant abdominal pathology is paramount. The perceived rarity of an ectopic pregnancy and appendicitis should not obscure a thorough clinical evaluation.
同时发生异位妊娠和急性阑尾炎的情况极为罕见。自1960年以来，仅报告过22例。从未有过同时发生间质部异位妊娠和阑尾炎的病例报告。
一名24岁的非裔美国女性，孕4产3，发生右侧间质部异位妊娠。她作为住院患者接受了甲氨蝶呤非肠道给药治疗，其β-人绒毛膜促性腺激素水平适当下降。治疗3天后出院，但随后因右下腹疼痛、恶心、呕吐和发热再次就诊。患者接受了腹腔镜检查，切除了化脓性阑尾。可见稳定的间质部异位妊娠，予以保留。
考虑并存腹部病变的原则至关重要。异位妊娠和阑尾炎被认为罕见这一情况不应妨碍进行全面的临床评估。
