Grounds Benjamin E, Cross Jennifer
Obstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, USA.
Cureus. 2020 Nov 19;12(11):e11560. doi: 10.7759/cureus.11560.
Ectopic pregnancies account for the majority of deaths in early pregnancy. A 27-year-old woman with unexplained infertility and a history of an appendectomy was referred to the reproductive endocrinology clinic. She was initially diagnosed with a pregnancy of unknown location and was later found to have an ectopic pregnancy. Final pathology found a surgical staple likely present from a previous appendectomy within the fallopian tube proximal to the ectopic site. The surgical staple is postulated to have entered the tube through ciliary action and caused the ectopic pregnancy. This rare case highlights physicians' need to carefully monitor and remove visible loose staples after using automated stapling devices.
异位妊娠是早期妊娠死亡的主要原因。一名27岁有不明原因不孕史且做过阑尾切除术的女性被转诊至生殖内分泌诊所。她最初被诊断为妊娠部位不明，后来发现是异位妊娠。最终病理检查发现，在异位妊娠部位近端的输卵管内有一个很可能来自之前阑尾切除术的手术吻合钉。据推测，这个手术吻合钉是通过纤毛运动进入输卵管并导致了异位妊娠。这个罕见病例凸显了医生在使用自动吻合器械后仔细监测并取出可见松动吻合钉的必要性。
