Shehata Ayman, El Namoury Mohamed, Heider Mostafa
Tanta University, Tanta, Egypt.
Case Rep Obstet Gynecol. 2016;2016:6395154. doi: 10.1155/2016/6395154. Epub 2016 Nov 30.
Ectopic pregnancy occurs in about 1-2% in normal cycles but in IVF cycles the rate jumps to 4%. No definite cause for ectopic pregnancy was detected, but many risk factors were described as abnormal tube, pelvic infection, or surgery. In this case report we found 2 abnormalities in eight-year infertile woman; the first abnormality was bicornuate uterus and the second abnormality was the site of ectopic pregnancy which was in between the two horns of uterus. This is the only case reported with primary abdominal pregnancy with bicornuate uterus and both healthy ovaries and tubes. The case was unstable and managed by laparotomy and repair of ectopic site after enucleation of sac using Vicryl 2/0. The case was discharged 24 hours after operation in good health.
正常月经周期中异位妊娠的发生率约为1%-2%,但在体外受精周期中,这一比例跃升至4%。虽然尚未发现异位妊娠的确切病因,但许多风险因素被描述为输卵管异常、盆腔感染或手术史。在本病例报告中,我们发现一名八年不孕女性存在两种异常情况;第一种异常是双角子宫,第二种异常是异位妊娠的部位位于子宫两角之间。这是唯一一例报告的原发性腹腔妊娠合并双角子宫且双侧卵巢和输卵管均健康的病例。该病例情况不稳定,通过剖腹手术进行处理,在使用2/0薇乔缝线摘除妊娠囊后修复异位部位。患者术后24小时出院,身体状况良好。