Ginsburg K A, Quereshi F, Thomas M, Snowman B
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan.
Fertil Steril. 1989 Feb;51(2):354-6. doi: 10.1016/s0015-0282(16)60506-x.
The clinical course of this 33-year-old gravida presenting at 16 weeks' gestation with hemoperitoneum was typical for suspected uterine rupture. Pathologic examination of the hysterectomy specimen supports the diagnosis of intramural pregnancy, representing the 15th case reported to date in the literature. Furthermore, there was histologic evidence of adenomyosis both within the sinus tract leading to the implantation site and throughout the myometrium. Documentation of implantation and development of ectopic pregnancy in adenomyotic myometrium should alert the clinician to the possibility of this rare pregnancy complication.
这位33岁的孕妇在妊娠16周时因腹腔积血就诊，其临床过程符合疑似子宫破裂的典型表现。子宫切除标本的病理检查支持壁间妊娠的诊断，这是文献中迄今报道的第15例。此外，在通向着床部位的窦道内以及整个子宫肌层均有子宫腺肌病的组织学证据。记录子宫腺肌病肌层中异位妊娠的着床和发育情况应提醒临床医生注意这种罕见妊娠并发症的可能性。
