腹腔镜成功治疗输卵管结扎失败患者并发的异位妊娠和急性阑尾炎——病例报告并文献复习
Successful laparoscopic management of concomitant ectopic pregnancy and acute appendicitis in a patient of failed tubal ligation - case report with a review of the literature.
作者信息
Mir Iqbal Saleem, Mohsin Mir, Malik Anjum, Ahad Basharat, Farooq Syed Suraiya Arjumand
机构信息
Minimal Access Surgery Unit, Government Gousia Hospital, Srinagar, Kashmir, India.
出版信息
Cases J. 2008 Dec 22;1(1):412. doi: 10.1186/1757-1626-1-412.
BACKGROUND
The incidence of failed abdominal bilateral tubal ligation (BTL) is quite low. Most often the pregnancy following BTL is ectopic in location. The association of concurrent acute appendicitis with ectopic pregnancy is also very rare. From 1960 till 2008 only 23 such cases of ectopic pregnancy with appendicitis managed by open surgery have been reported in the medical literature.
CASE PRESENTATION
We present a case in which the patient had concurrent ectopic pregnancy of the right fallopian tube with acute appendicitis after failed BTL and which was managed successfully by laparoscopic approach.
CONCLUSION
Although the combination of ectopic pregnancy and acute appendicitis is quite rare, it is wise to rule out concurrent acute appendicitis in patients of ectopic pregnancy especially if it is on the right side due to an inter-etiological relationship. Laparoscopic management of both these pathologies can be accomplished quite successfully in properly selected cases.
背景
双侧输卵管结扎术（BTL）失败的发生率相当低。BTL术后妊娠大多为异位妊娠。同时合并急性阑尾炎与异位妊娠的情况也非常罕见。从1960年到2008年，医学文献中仅报道了23例经开放手术治疗的异位妊娠合并阑尾炎病例。
病例报告
我们报告一例患者，在双侧输卵管结扎术失败后，右侧输卵管发生异位妊娠并同时合并急性阑尾炎，经腹腔镜手术成功治疗。
结论
虽然异位妊娠合并急性阑尾炎的情况相当罕见，但对于异位妊娠患者，尤其是右侧异位妊娠患者，鉴于病因学上的关联，排除同时合并急性阑尾炎是明智的。在适当选择的病例中，通过腹腔镜手术可以相当成功地处理这两种病症。
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