Yalçın Yakup, Tatar Burak, Erdemoğlu Ebru, Akkurt Mehmet Özgür, Yavuz And, Erdemoğlu Evrim
Süleyman Demirel University Faculty of Medicine, Department of Gynecologic Oncology, Isparta, Turkey.
Şifa Hospital, Clinic of Obstetrics and Gynecology, Isparta, Turkey.
Turk J Obstet Gynecol. 2015 Sep;12(3):182-184. doi: 10.4274/tjod.23500. Epub 2015 Sep 15.
Cornual pregnancies carry a greater maternal mortality risk than ampullary ectopic pregnancies and they may cause significant hemorrhage. A woman aged 36 years with a six-week history of amenorrhea, slight vaginal bleeding, and low abdominal pain of three days duration presented to our clinic. A diagnosis of right cornual ectopic pregnancy was made using ultrasonographic findings. Laparoscopic exploration confirmed the diagnosis. We occluded the uterine artery at its origin and also transected vessels within the mesosalpinx and uteroovarian ligament to successfully accomplish avascularization of a cornual pregnancy. Occlusion of the uterine arteries is reported to be a safe and blood-sparing technique. Severe hemorragia may occur during the operation; therefore, techniques to minimize blood loss are reported. In our case, occlusion of the uterine artery and transection of the mesosalpinx and uteroovarian vessels provided a bloodless operation and there was no need to bilaterally occlude vessels.
宫角妊娠比壶腹部异位妊娠具有更高的孕产妇死亡风险，并且可能导致大量出血。一名36岁女性，停经6周，有轻微阴道出血及持续3天的下腹部疼痛，前来我院就诊。通过超声检查结果诊断为右侧宫角异位妊娠。腹腔镜探查证实了诊断。我们在子宫动脉起始处将其阻断，并切断输卵管系膜和子宫卵巢韧带内的血管，成功实现了宫角妊娠的去血管化。据报道，阻断子宫动脉是一种安全且节省血液的技术。手术过程中可能会发生严重出血；因此，有报道称有将失血降至最低的技术。在我们的病例中，阻断子宫动脉以及切断输卵管系膜和子宫卵巢血管实现了无血手术，无需双侧阻断血管。
