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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本文引用的文献
1
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J Hum Reprod Sci. 2010 May;3(2):108-10. doi: 10.4103/0974-1208.69333.
2
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Cases J. 2009 Dec 21;2:9369. doi: 10.1186/1757-1626-2-9369.
3
Heterotopic pregnancy in natural conception.自然受孕中的异位妊娠。
J Hum Reprod Sci. 2008 Jan;1(1):37-8. doi: 10.4103/0974-1208.39595.
4
Heterotopic triplet pregnancy with bilateral tubal and intrauterine pregnancy after spontaneous conception.自然受孕后发生的异位三联胎妊娠，合并双侧输卵管妊娠及宫内妊娠。
Eur J Obstet Gynecol Reprod Biol. 2009 Feb;142(2):161-2. doi: 10.1016/j.ejogrb.2008.10.013. Epub 2008 Dec 11.
5
Simultaneous intrauterine and extra-uterine pregnancy.宫内宫外同时妊娠。
Proc Staff Meet Mayo Clin. 1948 Mar 31;23(7):166-8.
6
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Fertil Steril. 2009 Apr;91(4):1293.e5-7. doi: 10.1016/j.fertnstert.2008.01.067. Epub 2008 Mar 18.
7
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