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子宫切除术后患者发生的晚期异位妊娠。

Late occurring ectopic pregnancy in a posthysterectomy patient.

作者信息

Anis Munazza, Irshad Abid, Ackerman Susan

机构信息

Medical University of South Carolina, Department of Radiology, Charleston, SC 29425, USA.

出版信息

Case Rep Obstet Gynecol. 2013;2013:975196. doi: 10.1155/2013/975196. Epub 2013 Sep 18.

DOI:10.1155/2013/975196
PMID:24151571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3789311/
Abstract

The incidence of ectopic pregnancy after hysterectomy is extremely rare with only 56 cases reported in the medical literature. Due to its rare occurrence, this diagnosis may not be initially considered when such a patient presents with abdominopelvic pain. It is an important diagnosis to keep in mind since a delay in diagnosis may lead to death. The case presented below describes this extremely unusual diagnosis of an ectopic pregnancy which occurred six years after a supracervical hysterectomy.

摘要

子宫切除术后异位妊娠的发生率极为罕见,医学文献中仅报道过56例。由于其发生率低,当此类患者出现腹盆腔疼痛时,最初可能不会考虑到这一诊断。这是一个需要牢记的重要诊断,因为诊断延迟可能导致死亡。以下病例描述了一例极为罕见的异位妊娠诊断,该病例发生在次全子宫切除术后六年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbc/3789311/bdb6db576436/CRIM.OBGYN2013-975196.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbc/3789311/c42166a687ee/CRIM.OBGYN2013-975196.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbc/3789311/761649190091/CRIM.OBGYN2013-975196.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbc/3789311/bdb6db576436/CRIM.OBGYN2013-975196.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbc/3789311/c42166a687ee/CRIM.OBGYN2013-975196.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbc/3789311/761649190091/CRIM.OBGYN2013-975196.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbc/3789311/bdb6db576436/CRIM.OBGYN2013-975196.003.jpg

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1
Late occurring ectopic pregnancy in a posthysterectomy patient.子宫切除术后患者发生的晚期异位妊娠。
Case Rep Obstet Gynecol. 2013;2013:975196. doi: 10.1155/2013/975196. Epub 2013 Sep 18.
2
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引用本文的文献

1
Cervical stump pregnancy 6 years after subtotal hysterectomy: a case report.子宫次全切除术后6年发生宫颈残端妊娠:1例病例报告
J Med Case Rep. 2019 May 8;13(1):135. doi: 10.1186/s13256-019-2077-9.
2
Ectopic pregnancy after hysterectomy may not be so uncommon: A case report and review of the literature.子宫切除术后异位妊娠可能并不罕见:一例病例报告及文献复习
Case Rep Womens Health. 2015 May 7;7:8-11. doi: 10.1016/j.crwh.2015.04.001. eCollection 2015 Jul.
3
Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy.

本文引用的文献

1
Ectopic pregnancy after hysterectomy: a review and insight into etiology and prevention.子宫切除术后异位妊娠:病因学和预防的回顾与见解。
Fertil Steril. 2010 Jul;94(2):431-5. doi: 10.1016/j.fertnstert.2009.03.039. Epub 2009 Apr 25.
2
A 14-week abdominal pregnancy after total abdominal hysterectomy.全腹子宫切除术后14周的腹腔妊娠。
Obstet Gynecol. 2007 Feb;109(2 Pt2):519-21. doi: 10.1097/01.AOG.0000243774.14606.64.
3
Tubal ectopic pregnancy-cause of acute abdomen following hysterectomy.输卵管异位妊娠——子宫切除术后急腹症的原因。
腹腔镜子宫次全切除术两年后发生输卵管妊娠。
BMC Womens Health. 2014 May 24;14:69. doi: 10.1186/1472-6874-14-69.
J Obstet Gynaecol. 1999 May;19(3):328. doi: 10.1080/01443619965318.
4
Ectopic pregnancy months after laparoscopic supracervical hysterectomy.腹腔镜子宫次全切除术后数月发生异位妊娠。
J Am Assoc Gynecol Laparosc. 2004 Feb;11(1):94-5. doi: 10.1016/s1074-3804(05)60021-7.
5
ECTOPIC PREGNANCY FOLLOWING TOTAL HYSTERECTOMY. REPORT OF A CASE.全子宫切除术后的异位妊娠。病例报告。
Obstet Gynecol. 1964 Jun;23:882-4.
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Thirteen-week abdominal pregnancy after hysterectomy.子宫切除术后13周的腹腔妊娠。
J Emerg Med. 2003 Aug;25(2):159-61. doi: 10.1016/s0736-4679(03)00163-x.
7
Ectopic pregnancy after cesarean hysterectomy.
Obstet Gynecol. 2002 May;99(5 Pt 2):933-4. doi: 10.1016/s0029-7844(02)01932-4.
8
Ectopic pregnancy after a laparoscopically-assisted vaginal hysterectomy.腹腔镜辅助阴式子宫切除术后的异位妊娠
Aust N Z J Obstet Gynaecol. 1998 Feb;38(1):112-3. doi: 10.1111/j.1479-828x.1998.tb02975.x.
9
Ectopic pregnancy following hysterectomy: an update for the 1990s.子宫切除术后的异位妊娠:20世纪90年代的最新情况。
Obstet Gynecol. 1996 Oct;88(4 Pt 2):732. doi: 10.1016/0029-7844(96)00128-7.
10
Atypical ectopic pregnancy.非典型异位妊娠
Am J Emerg Med. 1993 May;11(3):233-4. doi: 10.1016/0735-6757(93)90132-u.