Okunowo Adeyemi A, Okunade Kehinde S, Adefemi Ayodeji K, Habeebu-Adeyemi Fatimah M
Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Niger Postgrad Med J. 2016 Apr-Jun;23(2):101-3. doi: 10.4103/1117-1936.186302.
Spontaneous heterotopic pregnancy (HP) is a very rare and fatal condition that could result in significant maternal morbidity and mortality if prompt diagnosis and appropriate interventions are not instituted at the right time. Unfortunately, this life-threatening condition may be easily misdiagnosed in early pregnancy due to its rarity, vague clinical presentation and the presence of an intrauterine pregnancy which may confuse an inexperienced clinician. The aim of management is to excise the ectopic gestation while preserving the intrauterine pregnancy, if alive. We present a case of spontaneous HP that had complete excision of the ectopic gestation and a live delivery of the intrauterine pregnancy at term.
自发性子宫外孕是一种非常罕见且致命的病症，如果不能及时进行准确诊断并采取适当干预措施，可能会导致严重的孕产妇发病和死亡。不幸的是，由于这种病症罕见、临床表现不明确，且存在宫内妊娠可能会使经验不足的临床医生产生混淆，在妊娠早期这种危及生命的病症很容易被误诊。治疗的目的是在宫内妊娠存活的情况下，切除异位妊娠组织。我们报告一例自发性子宫外孕病例，该病例成功完全切除了异位妊娠组织，宫内妊娠足月顺产。
