子宫切除术后宫内节育器在位时发生的异位妊娠破裂：一例报告
Ruptured ectopic pregnancy after hysterectomy with copper intrauterine device in place: A case report.
作者信息
Pivarnik Katie, Syeda Humera
机构信息
Department of Obstetrics and Gynecology, Albany Medical Center, 391 Myrtle Avenue, 2 floor, MC-74, Albany, NY 12208, USA.
出版信息
Case Rep Womens Health. 2020 May 20;27:e00223. doi: 10.1016/j.crwh.2020.e00223. eCollection 2020 Jul.
INTRODUCTION
Ectopic pregnancy after hysterectomy is a rare event, with 72 cases being reported since 1895. Concomitant use of reliable contraception at the time of hysterectomy makes pregnancy extremely unlikely, but, as this case illustrates, does not completely rule out the possibility of post-hysterectomy ectopic pregnancy.
CASE
A 30-year-old woman experienced a ruptured fallopian tube ectopic pregnancy four weeks after a laparoscopic-assisted vaginal hysterectomy and left salpingo-oophorectomy. At the time of her hysterectomy, a copper intrauterine device was in place.
CONCLUSION
Women with ovaries who present with abdominal or pelvic pain should be evaluated for pregnancy regardless of contraceptive use or history of hysterectomy.
引言
子宫切除术后发生异位妊娠是一种罕见情况，自1895年以来仅有72例相关报道。子宫切除时同时使用可靠的避孕措施使妊娠极不可能发生，但正如本病例所示，这并不能完全排除子宫切除术后异位妊娠的可能性。
病例
一名30岁女性在腹腔镜辅助下阴道子宫切除术及左侧输卵管卵巢切除术后四周，发生了输卵管异位妊娠破裂。她进行子宫切除时，宫内放置了铜节育器。
结论
出现腹部或盆腔疼痛的有卵巢的女性，无论其避孕措施使用情况或子宫切除史如何，均应评估是否妊娠。
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