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使用超声评估并解释同侧输卵管切除术后复发性异位妊娠的发生情况。

To Evaluate and Explain the Occurrence of Recurrent Ectopic Pregnancy after Ipsilateral Salpingectomy, Using the Ultrasound.

作者信息

Youssef Ashraf Talaat

机构信息

Department of Radiology, Faculty of Medicine, Fayoum University, Faiyum, Egypt.

出版信息

J Med Ultrasound. 2020 May 18;28(4):264-266. doi: 10.4103/JMU.JMU_113_19. eCollection 2020 Oct-Dec.

Abstract

The current case report evaluated a female patient with a history of right salpingectomy subsequent to right tubal ectopic pregnancy that was presented with amenorrhea followed by vaginal bleeding and lower abdominal severe pain. The transvaginal ultrasound examination revealed the presence of ipsilateral right interstitial ectopic pregnancy. The patient was subjected to cornual wedge resection and uterine repair. The pathology report of the excised specimen revealed decidua, chorionic villi, and blood. Recurrent interstitial ectopic pregnancy after previous ipsilateral tubal ectopic pregnancy managed with salpingectomy is very rare, with only a few cases described in the literature. The current study was to evaluate and explain the occurrence of recurrent ectopic pregnancy after ipsilateral salpingectomy using the ultrasound.

摘要

本病例报告评估了一名女性患者,该患者有右侧输卵管异位妊娠病史,之后进行了右侧输卵管切除术,现出现闭经,随后出现阴道出血和下腹部剧痛。经阴道超声检查发现右侧同侧间质部异位妊娠。患者接受了宫角楔形切除术和子宫修复术。切除标本的病理报告显示有蜕膜、绒毛膜绒毛和血液。既往同侧输卵管异位妊娠行输卵管切除术后复发性间质部异位妊娠非常罕见,文献中仅描述了少数病例。本研究旨在利用超声评估并解释同侧输卵管切除术后复发性异位妊娠的发生情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31fe/7869725/e7b29ed47947/JMU-28-264-g001.jpg

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