Department of Obstetrics and Gynaecology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand, India.
Fertil Steril. 2010 Jun;94(1):350.e5-7. doi: 10.1016/j.fertnstert.2009.12.066. Epub 2010 Feb 21.
To determine whether ectopic pregnancy should be suspected in young women with abdominal pain even after hysterectomy.
Case report.
The patient presenting with abdominal pain in the emergency department was referred to a tertiary care center.
PATIENT(S): A young woman who had had a subtotal hysterectomy 3 years prior for atonic postpartum hemorrhage during her last caesarean section presented with acute abdominal pain.
INTERVENTION(S): Urgent ultrasound showed a gestational sac of 9 weeks + 3 days. Emergency laparotomy was done for suspected ectopic pregnancy.
MAIN OUTCOME MEASURE(S): Ultrasound, operative findings, and histopathology.
RESULT(S): Tubal ectopic pregnancy was confirmed on laparotomy and histopathology.
CONCLUSION(S): Early suspicion can avoid missing early and treatable ectopic gestation before life-threatening complications develop.
即使在子宫切除术后，也应怀疑年轻女性腹痛是否为异位妊娠。
病例报告。
在急诊科出现腹痛的患者被转至三级护理中心。
一名年轻女性，3 年前因最后一次剖宫产时发生产后出血性子宫弛缓而接受次全子宫切除术，现出现急性腹痛。
紧急超声显示 9 周+3 天的孕囊。因疑似异位妊娠而行急诊剖腹术。
超声、手术发现和组织病理学。
剖腹术和组织病理学证实为输卵管异位妊娠。
早期怀疑可以避免在危及生命的并发症发生之前错过早期和可治疗的异位妊娠。
