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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.

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。

相似文献

7
Tubal pregnancy after total vaginal hysterectomy.全阴道子宫切除术后的输卵管妊娠
Ann Emerg Med. 1989 Oct;18(10):1107-10. doi: 10.1016/s0196-0644(89)80941-2.
8
Ectopic tubal pregnancy after hysterectomy and tubal ligation.子宫切除术后和输卵管结扎术后的异位输卵管妊娠。
Arch Gynecol Obstet. 2009 Jan;279(1):83-5. doi: 10.1007/s00404-008-0645-0. Epub 2008 Apr 17.

本文引用的文献

1
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.
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.
8
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.
9
Is ectopic pregnancy possible after hysterectomy?子宫切除术后还会发生宫外孕吗?
Fertil Steril. 2010 Jun;94(1):350.e5-7. doi: 10.1016/j.fertnstert.2009.12.066. Epub 2010 Feb 21.
10
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。
Fertil Steril. 2010 Jun;94(1):352.e1-3. doi: 10.1016/j.fertnstert.2010.01.010. Epub 2010 Feb 20.

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