妊娠晚期合并输卵管积水伴急性腹痛：1例病例报告
Hydrosalpinx with acute abdominal pain during the third trimester of pregnancy: A case report.
作者信息
Baradwan Saeed, Baradwan Amira, Baradwan Afnan, Al-Jaroudi Dania
机构信息
Department of Obstetrics and Gynecology, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
出版信息
Case Rep Womens Health. 2018 Sep 8;20:e00077. doi: 10.1016/j.crwh.2018.e00077. eCollection 2018 Oct.
BACKGROUND
Acute abdomen in pregnancy is a unique clinical challenge. We report a rare case of hydrosalpinx presenting as acute abdomen in the third trimester of pregnancy in the absence of infection and hormonal treatment.
CASE
A 38-year-old Caucasian woman (gravida 4, para 3), at an estimated 29 weeks of a spontaneous singleton pregnancy, presented to the emergency department with severe abdominal pain in the right lower quadrant, which had been present for three days. Magnetic resonance imaging (MRI) demonstrated a right-sided hydrosalpinx. It was successfully treated with conservative treatment and the patient delivered vaginally at term without complication.
CONCLUSION
Hydrosalpinx should be considered as one of the differential diagnoses for acute abdomen during pregnancy. A multidisciplinary approach is recommended, with a careful work-up, due to the risks to both fetus and mother.
背景
妊娠期急腹症是一项独特的临床挑战。我们报告一例罕见病例，一名孕妇在妊娠晚期出现输卵管积水并表现为急腹症，且无感染及激素治疗史。
病例
一名38岁的白人女性（孕4产3），自然单胎妊娠，估计孕周29周，因右下象限严重腹痛3天就诊于急诊科。磁共振成像（MRI）显示右侧输卵管积水。经保守治疗成功治愈，患者足月顺产，无并发症。
结论
输卵管积水应被视为妊娠期急腹症的鉴别诊断之一。鉴于对胎儿和母亲均有风险，建议采用多学科方法，并进行仔细的检查。
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