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[体外受精后发生异位妊娠,行破裂的宫角妊娠切除术,最终在接近足月时行剖宫产]

[Heterotopic pregnancy following in vitro fertilization with excision of ruptured cornual pregnancy and eventually caesarean section close to term].

作者信息

Elers Jimmi, Zingenberg Helle, Bing Mette H, Paulsen Lene

出版信息

Ugeskr Laeger. 2016 Dec 26;178(52).

Abstract

We describe a rare case of heterotopic pregnancy following in vitro fertilization with transferring of two embryos in a 39-year-old woman with previous bilateral salpingectomy. An ultrasound examination was performed on the day before admission showing a vital intrauterine pregnancy and no ectopic pregnancy. The woman was admitted with a ruptured cornual pregnancy at ten weeks of gestation. Laparotomy was performed on vital indication with excision of the ruptured haemorrhagic cornual pregnancy. The intrauterine pregnancy continued uneventfully with obstetric and fetal medicine specialist monitoring. A healthy boy was delivered by elective caesarean section.

摘要

我们描述了一例罕见的体外受精后异位妊娠病例,该病例发生在一名39岁、既往双侧输卵管切除术的女性身上,其接受了两个胚胎的移植。入院前一天进行了超声检查,显示宫内妊娠存活且无异位妊娠。该女性在妊娠10周时因宫角妊娠破裂入院。在有生命指征的情况下进行了剖腹手术,切除破裂出血的宫角妊娠。宫内妊娠在产科和胎儿医学专家的监测下顺利继续。通过择期剖宫产分娩出一名健康男婴。

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