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双侧输卵管切除术后体外受精与胚胎移植导致因输卵管残端瘘引发的卵巢异位妊娠破裂:一例报告并文献复习

In vitro fertilisation and embryo transfer for bilateral salpingectomies results in a ruptured ovarian ectopic pregnancy due to a tubal stump fistula: a case report and review of the literature.

作者信息

Seshadri Srividya, Shirley Paul, Jaiganesh Thiagarajan, Uchil Dhiraj, Jolaoso Adeboye

机构信息

Univesity Hospital Lewisham, Obstetrics and Gynaecology, London, UK.

出版信息

BMJ Case Rep. 2010 Apr 27;2010:bcr09.2009.2291. doi: 10.1136/bcr.09.2009.2291.

Abstract

Ectopic pregnancy is a leading cause of maternal mortality. A high index of suspicion of an ectopic pregnancy must be borne in mind, especially when a woman of reproductive age presents to the emergency department with abdominal pain and a positive pregnancy test. An ectopic pregnancy can occur in unusual sites, particularly when assisted reproductive techniques have been used. Most ectopic pregnancies occur in the fallopian tube (so-called tubal pregnancies), but implantation can also occur in the uterine cornua, cervix, ovaries, and abdomen, including the retroperitoneum. We present only the second reported case of ovarian ectopic pregnancy in a 37-year-old woman following an in vitro fertilisation and embryo transfer for bilateral salpingectomies.

摘要

异位妊娠是孕产妇死亡的主要原因。必须高度怀疑异位妊娠,尤其是当育龄妇女因腹痛和妊娠试验阳性而到急诊科就诊时。异位妊娠可发生在不寻常的部位,特别是在使用辅助生殖技术时。大多数异位妊娠发生在输卵管(所谓的输卵管妊娠),但也可发生在子宫角、宫颈、卵巢和腹部,包括腹膜后。我们仅报告了第二例37岁女性在双侧输卵管切除术后体外受精和胚胎移植后发生卵巢异位妊娠的病例。

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