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足月存活的阔韧带继发性妊娠——1例罕见病例。

Full term viable secondary broad ligament pregnancy - A rare case.

作者信息

Sheethal C H, Powar Akshata

机构信息

Department of Obstetrics and Gynaecology, ESIC Hospital, Nacharam, Hyderabad, Telangana, India.

Department of General Surgery, ESIC Hospital, Nacharam, Hyderabad, Telangana, India.

出版信息

Case Rep Womens Health. 2016 Oct 18;13:4-5. doi: 10.1016/j.crwh.2016.10.003. eCollection 2017 Jan.

DOI:10.1016/j.crwh.2016.10.003
PMID:29593985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5863037/
Abstract

Broad ligament pregnancy is also known as inter ligamentous pregnancy which is a rare form of ectopic pregnancy. Very few successful live births have been reported in this condition, where such pregnancies reached term and with live birth of a baby. A case of 28 year old primigravida of 35 weeks gestation with oligoamnios was referred to our hospital. A right broad ligament pregnancy was confirmed after an ultrasound and an MRI. She was taken up for surgery and an incision was given on the anterior leaf of the broad ligament and a male live fetus was extracted. Placenta was found on the posterior leaf of the broad ligament and it was removed without any undue haemorrhage. Uterus was lying medial to the sac and was around ten weeks in size. Both mother and baby were discharged on seventh postoperative day in good health condition.

摘要

阔韧带妊娠也被称为韧带间妊娠,是一种罕见的异位妊娠形式。据报道,在这种情况下很少有成功的活产案例,即此类妊娠达到足月并产下活婴。一名妊娠35周、羊水过少的28岁初产妇被转诊至我院。经超声和磁共振成像(MRI)检查后确诊为右侧阔韧带妊娠。她接受了手术,在阔韧带前叶做了切口,取出了一个存活的男胎。胎盘位于阔韧带后叶,已被切除,未发生任何不当出血。子宫位于骶骨内侧,大小约为妊娠十周。术后第七天,母婴均健康出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2634/5863037/7a103aa6212e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2634/5863037/1712b121b47e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2634/5863037/7a103aa6212e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2634/5863037/1712b121b47e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2634/5863037/7a103aa6212e/gr2.jpg

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本文引用的文献

1
Term abdominal pregnancy with healthy newborn: a case report.足月腹腔妊娠并娩出健康新生儿:一例报告
Ghana Med J. 2011 Jun;45(2):81-3. doi: 10.4314/gmj.v45i2.68933.
罕见异位妊娠——2007年至2019年关于子宫和输卵管以外部位的文献综述
Geburtshilfe Frauenheilkd. 2020 Jul;80(7):686-701. doi: 10.1055/a-1181-8641. Epub 2020 Jul 14.