Vázquez Camacho Eric Emilio, Alfán Guzmán Felipe, Carbajal Ocampo Dante
Hospital Angeles México, colonia Escandón, México, DF.
Ginecol Obstet Mex. 2009 Aug;77(8):387-92.
A 40-year-old woman without symptoms, with a three-week amenorrhea, and with no previous pregnancy history. Three months before she followed treatment with clomifeno and no other risk factors. A measure of beta fraction is performed, finding a probable pregnancy of 3-4 weeks. A new measure of beta fraction is made three weeks later with an ultrasound, finding an important increment in measure, but without evidence of intrauterine pregnancy in the ultrasound. A new ultrasound is made seven weeks after her last period, finding a mass in the left ovary, but without increment in beta fraction. At week ten, she presents an uterine bleeding during a trip, which is diagnosed as a probable mole without any further medical treatment and from the 12th week, there is a considerable decrement in the beta fraction measure, without any other symptom, but the persistent adnexal mass at the left ovary, with irregular septum images at ultrasound. A laparotomy is performed finding an ectopic pregnancy surrounded by a serum cystadenoma.
一名40岁无症状女性，停经三周，既往无妊娠史。三个月前接受克罗米芬治疗，无其他危险因素。检测β亚基水平，发现可能怀孕3 - 4周。三周后再次检测β亚基水平并进行超声检查，发现水平显著升高，但超声未显示宫内妊娠迹象。末次月经七周后再次进行超声检查，发现左侧卵巢有一肿块，但β亚基水平未升高。第十周时，她在旅行途中出现子宫出血，诊断为可能的葡萄胎，未进一步治疗。从第十二周起，β亚基水平检测值大幅下降，无其他症状，但左侧卵巢附件区肿块持续存在，超声显示有不规则分隔图像。进行剖腹探查术，发现异位妊娠，周围伴有浆液性囊腺瘤。
