Clinica Ginecológica Dr Dalmo Borges Ramos, São Paulo, Brazil.
Fertil Steril. 2010 Jun;94(1):352.e1-3. doi: 10.1016/j.fertnstert.2010.01.010. Epub 2010 Feb 20.
To describe the first vaginal approach to an ectopic pregnancy after hysterectomy.
Case report.
Private hospital.
PATIENT(S): A 38-year-old woman presenting with an ectopic pregnancy 5 months after having a vaginal hysterectomy due to uterine myomatosis.
INTERVENTION(S): Vaginal adnexectomy.
MAIN OUTCOME MEASURE(S): Vaginal surgery as a plausible approach for this very particular situation (ectopic pregnancy in hysterectomized patient).
RESULT(S): After vaginal surgery with removal of the left tube (containing a gestacional sac) and ovary, the patient fully recovered.
CONCLUSION(S): Vaginal surgery can be a safe option for ectopic pregnancy resolution in noncomplicated cases.
描述子宫切除术后首例经阴道途径治疗宫外孕的病例。
病例报告。
私立医院。
38 岁女性，因子宫肌瘤行阴道子宫切除术 5 个月后，诊断为宫外孕。
经阴道附件切除术。
阴道手术作为一种合理的治疗方法，适用于这种特殊情况（子宫切除术后的宫外孕患者）。
行阴道手术切除左侧输卵管（含妊娠囊）和卵巢后，患者完全康复。
阴道手术是治疗非复杂性宫外孕的一种安全选择。
