Ikechukwu Emmanuel, Adeleni Moshood
Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University Teaching Hospital, P.M.B. 2370, Sokoto, Nigeria.
Ann Afr Med. 2013 Jan-Mar;12(1):43-5. doi: 10.4103/1596-3519.108251.
We report a case of combined intrauterine and tubal pregnancy in a 35-year-old para 4(+2), 4 alive. The patient presented at our gynecological emergency unit with three weeks' history of lower abdominal pain. Her last childbirth was 2 years and her last menstrual period 12 weeks prior to presentation. A pelvic scan revealed an intrauterine gestation co-existing with an ectopic pregnancy. She had an emergency laparotomy with right salpingectomy. The post-operative period was unremarkable. The intrauterine pregnancy was supervised and she carried it to term and eventually had an uneventful vaginal delivery of a live male infant.
我们报告一例35岁经产妇（孕4产2，4个孩子存活）合并宫内妊娠和输卵管妊娠的病例。该患者因下腹部疼痛三周就诊于我们的妇科急诊室。她上次分娩是在2年前，此次就诊前12周为末次月经。盆腔扫描显示宫内妊娠与异位妊娠并存。她接受了急诊剖腹手术及右侧输卵管切除术。术后恢复顺利。对宫内妊娠进行了监测，她足月分娩，最终顺利经阴道分娩一名活男婴。
