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孕16周残角子宫妊娠破裂

Rupture of Rudimentary Horn Pregnancy at 16 Weeks of Gestation.

作者信息

Houmaid Hanane, Hilali Abderraouf

机构信息

Department of Gyneacology and Obstetrics, Mohammed VI Hospital, Chichaoua 41000, Morocco.

Laboratory of Cytogenetics and Toxicogenetics, FST, Settat, Morocco.

出版信息

Case Rep Obstet Gynecol. 2021 Jan 12;2021:8829053. doi: 10.1155/2021/8829053. eCollection 2021.

DOI:10.1155/2021/8829053
PMID:33505745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7815397/
Abstract

Pregnancy in the rudimentary horn is rare and a life-threatening. Rupture of pregnant rudimentary horn in the second trimester is a usual presentation. Early diagnosis and fast management are necessary to decrease the mortality and the morbidity of this pathological entity. This report confirms the diagnostic and therapeutic difficulties of the pregnant rudimentary horn. An emergency laparotomy was taken, and ruptured right rudimentary horn was diagnosed. A hemi-hysterectomy was carried out. The patient's postoperative follow-up was uneventful, and she left the hospital 5 days after.

摘要

残角子宫妊娠罕见且危及生命。妊娠中期残角子宫破裂是常见表现。早期诊断和快速处理对于降低该病理情况的死亡率和发病率至关重要。本报告证实了残角子宫妊娠的诊断和治疗困难。进行了急诊剖腹探查术，诊断为右侧残角子宫破裂。实施了次全子宫切除术。患者术后随访情况良好，术后5天出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/63135cdb2969/CRIOG2021-8829053.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/e4764af8dfce/CRIOG2021-8829053.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/dff6b8761b17/CRIOG2021-8829053.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/edecaea9a1b3/CRIOG2021-8829053.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/cd9e671d3985/CRIOG2021-8829053.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/63135cdb2969/CRIOG2021-8829053.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/e4764af8dfce/CRIOG2021-8829053.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/dff6b8761b17/CRIOG2021-8829053.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/edecaea9a1b3/CRIOG2021-8829053.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/cd9e671d3985/CRIOG2021-8829053.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e49d/7815397/63135cdb2969/CRIOG2021-8829053.005.jpg

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本文引用的文献

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The pregnancy outcomes of patients with rudimentary uterine horn: A 30-year experience.残角子宫患者的妊娠结局：30 年经验。
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始基子宫角的临床表现及早期诊断
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Eur J Obstet Gynecol Reprod Biol. 2002 May 10;102(2):209-10. doi: 10.1016/s0301-2115(01)00600-5.
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The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, müllerian anomalies and intrauterine adhesions.美国生育协会关于附件粘连、输卵管远端阻塞、输卵管结扎继发的输卵管阻塞、输卵管妊娠、苗勒管异常及宫腔粘连的分类。
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