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双侧输卵管切除术后妇女体外受精后发生卵巢妊娠:一例报告并文献复习

Ovarian Pregnancy Following in Vitro Fertilization in a Woman After Bilateral Salpingectomy: A Case Report and Review of the Literature.

作者信息

Feit Hagit, Leibovitz Zvi, Kerner Ram, Keidar Ran, Sagiv Ron

机构信息

Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

出版信息

J Minim Invasive Gynecol. 2015 May-Jun;22(4):675-7. doi: 10.1016/j.jmig.2015.01.018. Epub 2015 Jan 23.

Abstract

We present a rare case of ovarian pregnancy that occurred in a woman who underwent in vitro fertilization (IVF) after bilateral salpingectomy. The patient presented with abdominal pain and a positive pregnancy test. Ovarian pregnancy was diagnosed owing to a suspicious mass detected on ultrasound. She underwent laparoscopy to confirm the diagnosis, which was subsequently verified by histopathological examination. The question that comes in mind is: How did the pregnancy get there? After a review of the literature, we have found a few possible explanations for the mechanism of this rare event. This case emphasizes the need for vigilance in suspecting ectopic pregnancy even in women who have undergone salpingectomy.

摘要

我们报告一例罕见的卵巢妊娠病例,该病例发生在一名双侧输卵管切除术后接受体外受精(IVF)的女性身上。患者出现腹痛且妊娠试验呈阳性。由于超声检查发现可疑肿块,诊断为卵巢妊娠。她接受了腹腔镜检查以确诊,随后经组织病理学检查证实。人们不禁会问:妊娠是如何发生在那里的?在查阅文献后,我们找到了一些关于这一罕见事件发生机制的可能解释。该病例强调,即使是接受过输卵管切除术的女性,在怀疑异位妊娠时也需要保持警惕。

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