Thomas Joshua Baji
Obstetrics and Gynaecology, Kalgoorlie Regional Hospital, Kalgoorlie, Australia.
BMJ Case Rep. 2019 Jun 22;12(6):e228547. doi: 10.1136/bcr-2018-228547.
A 35-year-old Nepalese woman, referred by her general practitioner for per vaginal spotting and abdominal pain for the past 12 days with a background history of 5 weeks of amenorrhoea and a quantifiable beta-human chorionic gonadotrophin of 18 900 IU/L. Subsequent pelvic ultrasound revealed a cystic lesion with peripheral vascularity in the pouch of Douglas indicating possible ectopic pregnancy with no intrauterine gestational sac seen. Subsequent to that, she underwent a diagnostic laparoscopy that revealed 150 mL of blood in the pouch of Douglas with no other obvious evidence of tubal or ovarian ectopic pregnancy seen. There was, however, a resemblance of trophoblastic tissue noted on the wall of the pouch of Douglas that was further investigated to reveal a primary ectopic pregnancy of the pouch of Douglas with no trophoblastic infiltration.
一名35岁的尼泊尔女性，由她的全科医生转诊，因过去12天出现经阴道点滴出血和腹痛，有5周闭经病史，定量β-人绒毛膜促性腺激素为18900IU/L。随后的盆腔超声显示Douglas窝有一个周边有血管的囊性病变，提示可能为异位妊娠，未见宫内妊娠囊。在此之后，她接受了诊断性腹腔镜检查，发现Douglas窝有150毫升血液，未见输卵管或卵巢异位妊娠的其他明显证据。然而，在Douglas窝壁上发现了类似滋养层组织的东西，进一步检查发现是Douglas窝原发性异位妊娠，无滋养层浸润。
