Obajimi G, Awolude O
Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Nigeria.
Ann Ib Postgrad Med. 2019 Dec;17(2):190-192.
A 30 year-old P0 lady who was referred to the gynaecology clinic on account of inability to conceive for 8 years duration and progressive abdominal distension of 2 years duration. She had a history of severe cyclical dysmenorrhoea warranting occasional hospitalization. An abdomino-pelvic ultrasound revealed marked intra-abdominal collection. The uterus and ovaries appeared normal. She subsequently had laparoscopy and drainage of 6 litres of endometriotic ascites. Both fallopian tubes were diseased. She was followed up on an out-patient basis with sub-cutaneous goserelin injections and referred for assisted reproduction.
一名30岁未育女性,因8年不孕及2年进行性腹胀转诊至妇科门诊。她有严重的周期性痛经病史,偶尔需要住院治疗。腹盆腔超声显示腹腔内有大量积液。子宫和卵巢外观正常。随后她接受了腹腔镜检查,并引流了6升子宫内膜异位症腹水。双侧输卵管均有病变。她在门诊接受皮下注射戈舍瑞林治疗,并被转诊接受辅助生殖治疗。