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[体外受精与双侧输卵管切除术后危及生命的宫外妊娠]

[Life-threatening extrauterine pregnancy after in vitro fertilization and bilateral salpingectomy].

作者信息

Claudi Anne, Hansen Christian Steen, Nørgaard Lone Nikoline

机构信息

Pilevej 15, 3400 Hillerød.

出版信息

Ugeskr Laeger. 2015 Jan 26;177(2A):112-3.

Abstract

A woman with a history of bilateral salpingectomy achieved pregnancy after in vitro fertilization. At the gestational age of six weeks she experienced fatigue, haematemesis and abdominal pain. She was hospitalized on suspicion of a peptic ulcer. Several physicians rejected the possibility of an ectopic pregnancy due to the history of salpingectomy. The patient had intraabdominal bleeding and went through emergency surgery because of a ruptured interstitial pregnancy. The purpose of this case report is to recall the risk of interstitial pregnancy in pregnant women with a history of salpingectomy.

摘要

一位有双侧输卵管切除术史的女性在体外受精后怀孕。妊娠六周时,她出现疲劳、呕血和腹痛。因怀疑患有消化性溃疡而住院。由于有输卵管切除术史,几位医生排除了异位妊娠的可能性。患者出现腹腔内出血,因间质部妊娠破裂而接受了急诊手术。本病例报告的目的是提醒有输卵管切除术史的孕妇存在间质部妊娠的风险。

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