Audifred Salomón Jorge Ramón, Herrera Ortiz Alejandra, González Medrano María Gloria, Estrada Rivera Silvia Fabiola
Hospital General Dr. Manuel Gea González, México, DF.
Ginecol Obstet Mex. 2013 Apr;81(4):211-4.
Intraligamentary pregnancy is a rare form of ectopic pregnancy and a type of abdominal pregnancy, preoperative diagnosis is very difficult. This paper describes the case of a 24-year-old woman with a history of uterine curettage uncomplicated; she consulted due to abdomina pain in the right lower quadrant of seven days of duration, which gradually increased in intensity being 10/10 visual scale analogous (VAS). Obstetrical ultrasound was performed reporting: ectopic localization to annex right of 15.2 weeks gestational age, with heart rate of 152 beats per minute. The patient was admitted and underwent to emergency exploratory laparotomy, which found right paratubaric ectopic pregnancy. The histopathology report was of broad ligament ectopic pregnancy. Specimen of 9 x 8 x 7.5 cm and 200 grams.
阔韧带内妊娠是一种罕见的异位妊娠形式,属于腹腔妊娠的一种,术前诊断非常困难。本文描述了一名24岁女性的病例,她有过一次顺利的子宫刮宫史;因持续七天的右下腹疼痛前来咨询,疼痛强度逐渐增加,视觉模拟评分法(VAS)为10分(满分10分)。进行了产科超声检查,报告显示:异位妊娠位于右侧附件区,孕周为15.2周,心率为每分钟152次。患者入院并接受了急诊剖腹探查术,发现右侧输卵管旁异位妊娠。组织病理学报告为阔韧带异位妊娠。标本大小为9×8×7.5厘米,重200克。