Clinical Assistant Professor of Obstetrics and Gynecology at Alpert Medical School of Brown University; Lifespan Physician Group/OBGYN; Attending Physician at Rhode Island Hospital and Women & Infants Hospital; Adjunct Clinical Assistant Professor at Johnson & Wales University.
R I Med J (2013). 2020 Oct 1;103(8):50-52.
Ectopic pregnancy after hysterectomy is a rare event. There are 81 cases documented in the English medical literature since 1895.
32y/o G2P1011, with baseline history of chronic pelvic pain after abdominal hysterectomy and unilateral salpingectomy, presented with acute pain. Patient was diagnosed with ectopic pregnancy and underwent an urgent laparoscopy. Conclusion: Ectopic pregnancy should be part of the differential diagnosis for women of reproductive age, including woman post hysterectomy, who present with abdominal or pelvic pain or vaginal bleeding. Untimely diagnosis increases the risk for morbidity and mortality.
子宫切除术后的宫外孕是一种罕见的情况。自 1895 年以来，英文医学文献中有 81 例记录。
患者 32 岁，G2P1011，有基线病史，即腹部子宫切除术和单侧输卵管切除术后慢性盆腔痛，表现为急性疼痛。患者被诊断为宫外孕，并进行了紧急腹腔镜检查。
对于有生育能力的女性，包括子宫切除术后的女性，出现腹痛或盆腔痛或阴道出血时，应将宫外孕作为鉴别诊断的一部分。诊断不及时会增加发病率和死亡率的风险。
