Nathan Hannah, Sornum Alvin
Department of Obstetrics, Lower Umfolozi District War Memorial Hospital, Empangeni, KZN, South Africa.
BMJ Case Rep. 2013 Jun 6;2013:bcr2013009957. doi: 10.1136/bcr-2013-009957.
A 22-year-old woman presented with amenorrhoea, lower abdominal pain and brown vaginal discharge. She was noted to be in hypovolaemic shock with a distended and peritonitic abdomen. On bimanual examination, the uterus was not palpated, the posterior fornix was full and cervical excitation was present. A clinical diagnosis of a ruptured ectopic pregnancy was made. She was resuscitated and an emergency laparotomy was performed. Intraoperatively, a ruptured rudimentary horn with an ex utero pregnancy was discovered. The right horn and tube were removed, as was the non-viable fetus. There were no postoperative complications and the patient was discharged after 5 days of observation.
一名22岁女性出现闭经、下腹部疼痛及阴道褐色分泌物。她被发现处于低血容量性休克状态，腹部膨隆且有腹膜炎体征。双合诊检查时，未触及子宫，后穹窿饱满且有宫颈举痛。临床诊断为异位妊娠破裂。对她进行了复苏并实施了急诊剖腹手术。术中发现一个残角子宫破裂伴子宫外妊娠。切除了右侧角部及输卵管，同时取出了未存活的胎儿。术后无并发症，患者经5天观察后出院。
