破裂型异位妊娠：一种罕见临床问题的不寻常表现。
Ruptured heterotopic pregnancy: an unusual presentation of an uncommon clinical problem.
作者信息
Gibson Kyle R, Horne Andrew W
机构信息
MRC Centrefor Reproductive Health, University of Edinburgh, Edinburgh, UK [corrected].
出版信息
BMJ Case Rep. 2012 Nov 28;2012:bcr2012007423. doi: 10.1136/bcr-2012-007423.
Abstract
A 30-year-old nulliparous lady presented to our Emergency Gynaecology Service with a 3-day history of epigastric pain and vomiting at 7 weeks of gestation. An intrauterine pregnancy had been confirmed 3 days earlier when she had attended with an episode of left-iliac fossa pain. Unfortunately, she became more unwell within 1 h of admission and as the cause of her symptoms was unclear, she was taken to the theatre for a joint gynaecology and general surgical diagnostic laparoscopy. This revealed a haemoperitoneum of 2 litres and a ruptured ectopic pregnancy in her left fallopian tube. A left salpingectomy was undertaken to remove the ectopic pregnancy. The patient made an excellent recovery and delivered a healthy baby at 39 weeks of gestation without further complication.
摘要
一名30岁未生育的女性因妊娠7周时出现上腹部疼痛和呕吐3天，前来我们的妇科急诊就诊。3天前她因左髂窝疼痛前来就诊时，已确诊为宫内妊娠。不幸的是，入院后1小时内她病情加重，由于症状原因不明，她被送往手术室进行妇科和普通外科联合诊断性腹腔镜检查。检查发现腹腔内有2升积血，左侧输卵管异位妊娠破裂。遂行左侧输卵管切除术以切除异位妊娠物。患者恢复良好，妊娠39周时顺利产下一名健康婴儿，无进一步并发症。
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