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不孕症与乳糜性腹水?一例报告。

Infertility and chylous ascites? A case report.

作者信息

Frey C, Poncelet C

机构信息

Department of Obstetrics and Gynaecology (Pr Carbillon) and ART Centre, University Hospital Jean Verdier, Assistance Publique-Hôpitaux de Paris, Avenue du 14 juillet, 93143 Bondy, France.

出版信息

Int J Surg Case Rep. 2011;2(8):269-71. doi: 10.1016/j.ijscr.2011.08.008. Epub 2011 Sep 7.

DOI:10.1016/j.ijscr.2011.08.008
PMID:22096750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3215236/
Abstract

INTRODUCTION

Chylous ascites is defined by an accumulation of chylous fluid in the peritoneal cavity and it clinically appears as a milky fluid in which laboratory examination reveals triglycerides, cholesterol, and sometimes chylomicrons and lymphocytes.

PRESENTATION OF CASE

We report the first case of primary chylous ascites observed during laparoscopy for unexplained secondary infertility.

DISCUSSION

Chylous ascites has never been linked to fertility but bathes all internal reproductive organs surfaces and is considered a communication mean between ovaries.

CONCLUSION

Despite a lack of evidence, the question of peritoneal fluid role remains in infertility.

摘要

引言

乳糜性腹水是指乳糜液在腹腔内积聚,临床上表现为乳状液体,实验室检查显示其中含有甘油三酯、胆固醇,有时还有乳糜微粒和淋巴细胞。

病例介绍

我们报告了首例在腹腔镜检查不明原因继发性不孕时发现的原发性乳糜性腹水病例。

讨论

乳糜性腹水从未与生育能力相关联,但它覆盖所有内生殖器官表面,被认为是卵巢之间的一种连通方式。

结论

尽管缺乏证据,但腹膜液在不孕中的作用问题仍然存在。

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本文引用的文献

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[Diagnostic laparoscopy in current fertility practice: Pros].[当前生育实践中的诊断性腹腔镜检查:优点]
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Reactive oxygen species controls endometriosis progression.活性氧控制子宫内膜异位症的进展。
Am J Pathol. 2009 Jul;175(1):225-34. doi: 10.2353/ajpath.2009.080804. Epub 2009 Jun 4.
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Should diagnostic laparoscopy be performed initially or not, during infertility management of primary and secondary infertile women? A cross-sectional study.在原发性和继发性不孕女性的不孕症治疗过程中,是否应首先进行诊断性腹腔镜检查?一项横断面研究。
J Obstet Gynaecol Res. 2009 Feb;35(1):139-44. doi: 10.1111/j.1447-0756.2008.00838.x.
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Pathogenic mechanisms in endometriosis-associated infertility.子宫内膜异位症相关性不孕的发病机制
Fertil Steril. 2008 Aug;90(2):247-57. doi: 10.1016/j.fertnstert.2008.02.093.
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Peritoneal fluid as an unrecognised vector between female reproductive tissues.腹腔液作为女性生殖组织之间未被认识的载体。
Acta Obstet Gynecol Scand. 2007;86(3):260-5. doi: 10.1080/00016340601155098.
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Chylous ascites.乳糜性腹水
Am J Gastroenterol. 2002 Aug;97(8):1896-900. doi: 10.1111/j.1572-0241.2002.05911.x.
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Diagnostic laparoscopy in primary and secondary infertility.原发性和继发性不孕症的诊断性腹腔镜检查
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