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子宫切除术后异位妊娠可能并不罕见:一例病例报告及文献复习

Ectopic pregnancy after hysterectomy may not be so uncommon: A case report and review of the literature.

作者信息

Fylstra Donald L

机构信息

Medical University of South Carolina, 96 Jonathan Lucas Street, CBS 634F, Charleston, SC 29425, United States.

出版信息

Case Rep Womens Health. 2015 May 7;7:8-11. doi: 10.1016/j.crwh.2015.04.001. eCollection 2015 Jul.

DOI:10.1016/j.crwh.2015.04.001
PMID:29629309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5885999/
Abstract

BACKGROUND

Ectopic pregnancy after hysterectomy is a very uncommon event, but its frequency is increasing. Since first reported by Wendler in 1895, 71 cases of post-hysterectomy have been reported.

CASE

A woman, 2 years after an abdominal supracervical hysterectomy, presented with a ruptured fallopian tube ectopic pregnancy.

CONCLUSION

Any woman, even after hysterectomy but with ovaries in situ, who presents with an acute abdomen or abdominal-pelvic pain should be screened for pregnancy.

摘要

背景

子宫切除术后异位妊娠是一种非常罕见的情况,但发生率正在上升。自1895年温德勒首次报道以来,已报告71例子宫切除术后异位妊娠病例。

病例

一名女性在经腹次全子宫切除术后2年,出现输卵管异位妊娠破裂。

结论

任何女性,即使在子宫切除术后但卵巢仍保留,出现急腹症或盆腔疼痛时,都应进行妊娠筛查。

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A Case of Ectopic Tubal Pregnancy Eight Years After a Hysterectomy Presenting as a Diagnostic Challenge.一例子宫切除术后八年发生的输卵管异位妊娠病例,诊断颇具挑战性。
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Spontaneous Heterotopic Pregnancy: Dual Case Report and Review of Literature.自发性异位妊娠:双病例报告及文献综述
Case Rep Obstet Gynecol. 2016;2016:2145937. doi: 10.1155/2016/2145937. Epub 2016 Jun 19.

本文引用的文献

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Abdominal pregnancy after hysterectomy: a rare cause of hemoperitoneum.子宫切除术后腹腔妊娠:腹腔内出血的罕见原因。
J Emerg Med. 2014 Oct;47(4):e99-e101. doi: 10.1016/j.jemermed.2014.01.035. Epub 2014 Jul 4.
2
Tubal ectopic pregnancy two years after laparoscopic supracervical hysterectomy.腹腔镜子宫次全切除术两年后发生输卵管妊娠。
BMC Womens Health. 2014 May 24;14:69. doi: 10.1186/1472-6874-14-69.
3
Ectopic pregnancy after total abdominal hysterectomy.全腹子宫切除术后的异位妊娠。
J Obstet Gynaecol. 2014 Jan;34(1):90. doi: 10.3109/01443615.2013.830598.
4
Late occurring ectopic pregnancy in a posthysterectomy patient.子宫切除术后患者发生的晚期异位妊娠。
Case Rep Obstet Gynecol. 2013;2013:975196. doi: 10.1155/2013/975196. Epub 2013 Sep 18.
5
Ectopic pregnancy after hysterectomy: a case report.子宫切除术后异位妊娠:一例报告
J Reprod Med. 2013 Jan-Feb;58(1-2):75-6.
6
Ruptured ectopic pregnancy 11 years after supracervical hysterectomy: a case report.子宫颈上子宫切除术后11年发生的异位妊娠破裂:一例报告
Eur J Obstet Gynecol Reprod Biol. 2012 May;162(1):116-7. doi: 10.1016/j.ejogrb.2012.01.014. Epub 2012 Feb 27.
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Ovarian ectopic pregnancy 6 years after supracervical cesarean hysterectomy: a case report.经腹子宫颈上切除术6年后发生卵巢异位妊娠:1例病例报告
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Rare case of recurrent late post-hysterectomy ectopic pregnancy.
Aust N Z J Obstet Gynaecol. 2010 Jun;50(3):303-4. doi: 10.1111/j.1479-828X.2010.01171.x.
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Vaginal management of a "late" ectopic pregnancy after vaginal hysterectomy.阴道手术后“晚期”宫外孕的阴道管理。
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