Rimawi Bassam, Persad Malinini D, Robertazzi Robert, Jones Johannes
Department of Obstetrics and Gynecology, The Brooklyn Hospital Center, Brooklyn, NY 11209, USA.
J Reprod Med. 2013 Jan-Feb;58(1-2):77-80.
We describe a case of a heterotopic pregnancy that included a rare spontaneous twin gestational monoamniotic monochorionic pregnancy in a patient with a history of questionable contraceptive practices and a previous left salpingectomy secondary to a ruptured ectopic pregnancy.
A 34-year-old woman, gravida 2, para 1001, at 9 weeks + 2 days' gestational age by her last menstrual period on etonogestrel vaginal ring contraception presented with progressively increasing right lower quadrant abdominal pain, increasing abdominal girth, and vaginal bleeding. Transvaginal ultrasound revealed an intrauterine pregnancy along with a ruptured right tubal pregnancy. The patient was taken to the operating room where a right salpingectomy was performed. Her main risk factor was a previous ectopic pregnancy that led to a left-sided salpingectomy 2 years prior to this incident.
Cesarean delivery was performed at 30 weeks + 2 days' gestation because of preterm premature ruptured membranes followed by preterm labor and a nonreassuring fetal heart tracing in the presenting fetus. Twin female infants were delivered. There was entanglement of the umbilical cords as well as 2 true knots.
我们描述了一例异位妊娠病例，其中包括一名有可疑避孕史且曾因异位妊娠破裂行左侧输卵管切除术的患者发生的罕见的自发性双胎妊娠单羊膜单绒毛膜妊娠。
一名34岁女性，孕2产1001，根据末次月经计算孕周为9周+2天，使用依托孕烯阴道环避孕，出现右下腹疼痛逐渐加重、腹围增加及阴道出血。经阴道超声显示宫内妊娠合并右侧输卵管妊娠破裂。患者被送往手术室，行右侧输卵管切除术。她的主要危险因素是2年前因异位妊娠行左侧输卵管切除术。
因胎膜早破继而早产，且先露胎儿胎心监护异常，于孕30周+2天行剖宫产。娩出一对女婴。脐带存在缠绕及2个真结。
