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1
Endometriosis in the tract of transvaginal ovum pick up, a rare and late complication of in vitro fertilisation.经阴道取卵通道内的子宫内膜异位症，是体外受精一种罕见的晚期并发症。
BMJ Case Rep. 2021 May 5;14(5):e240705. doi: 10.1136/bcr-2020-240705.
2
Ectopic pregnancy in uterosacral ligament following in vitro fertilisation (IVF) in a patient with Allen-Masters syndrome.子宫骶骨韧带异位妊娠合并艾伦-马斯特斯综合征患者体外受精（IVF）后。
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Laparoscopic Partial Bladder Cystectomy for Bladder Endometriosis: A Combined Cystoscopic and Laparoscopic approach.腹腔镜膀胱子宫内膜异位症部分切除术：膀胱镜联合腹腔镜方法。
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Pseudotumoral Endometriotic Nodule.假瘤性子宫内膜异位结节。
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Surgical treatment of deep endometriosis with adenomyosis externa: a challenging case in an infertile woman.外科手术治疗外部腺肌症型深部子宫内膜异位症：一例不孕妇女的挑战性病例。
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Ultrasound mapping of pelvic endometriosis: does the location and number of lesions affect the diagnostic accuracy? A multicentre diagnostic accuracy study.盆腔子宫内膜异位症的超声图谱：病灶位置和数量是否影响诊断准确性？一项多中心诊断准确性研究。
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Bladder Endometriosis: Management by Cystoscopic and Laparoscopic Approaches.膀胱子宫内膜异位症：经膀胱镜和腹腔镜治疗。
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Unicornuate Uterus with Noncommunicating Rudimentary Horn (Class U4aC0V0/ESHRE/ESGE Classification) and a Communicating Bladder Endometriotic Nodule.单侧单角子宫合并未交通残角（U4aC0V0/ESHRE/ESGE 分类）及交通性膀胱子宫内膜异位症结节。
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本文引用的文献

1
Abdominal scar endometriosis: case report.腹部瘢痕子宫内膜异位症：病例报告
Clin Exp Obstet Gynecol. 2016;43(3):431-3.
2
Thoracic Endometriosis Syndrome: A Veritable Pandora's Box.胸腔子宫内膜异位症综合征：一个名副其实的潘多拉魔盒。
J Clin Diagn Res. 2016 Apr;10(4):QR04-8. doi: 10.7860/JCDR/2016/17668.7700. Epub 2016 Apr 1.
3
Prevention of the recurrence of symptom and lesions after conservative surgery for endometriosis.预防子宫内膜异位症保守手术后症状和病变的复发。
Fertil Steril. 2015 Oct;104(4):793-801. doi: 10.1016/j.fertnstert.2015.08.026. Epub 2015 Sep 4.
4
Accuracy of laparoscopy for assessing patients with endometriosis.腹腔镜检查评估子宫内膜异位症患者的准确性。
Sao Paulo Med J. 2008 Nov;126(6):305-8. doi: 10.1590/s1516-31802008000600002.
5
Acute pelvic inflammatory disease after oocyte retrieval: adverse effects on the results of implantation.取卵后急性盆腔炎：对植入结果的不良影响。
Fertil Steril. 1994 Mar;61(3):526-8. doi: 10.1016/s0015-0282(16)56587-x.
6
EGG retrieval for in vitro fertilisation by sonographically controlled vaginal culdocentesis.通过超声控制的阴道后穹窿穿刺术获取用于体外受精的卵子。
Lancet. 1983 Aug 27;2(8348):508-9. doi: 10.1016/s0140-6736(83)90530-5.
7
Transvesical and transvaginal approaches for the aspiration of follicles by use of ultrasound.经膀胱和经阴道超声引导下卵泡抽吸术
Ann N Y Acad Sci. 1985;442:182-94. doi: 10.1111/j.1749-6632.1985.tb37519.x.
8
Complications and problems in transvaginal sector scan-guided follicle aspiration.经阴道扇形扫描引导下卵泡抽吸术的并发症及问题
Fertil Steril. 1988 Feb;49(2):278-82. doi: 10.1016/s0015-0282(16)59716-7.

经阴道取卵通道内的子宫内膜异位症，是体外受精一种罕见的晚期并发症。

Endometriosis in the tract of transvaginal ovum pick up, a rare and late complication of in vitro fertilisation.

作者信息

Deshpande Swarika Hemant, Deshpande Swanit Hemant, Deshpande Priti Hemant, Parasnis Amit

机构信息

Obstetrics and Gynaecology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

General Surgery, BYL Nair Charitable Hospital, Mumbai, Maharashtra, India

出版信息

BMJ Case Rep. 2021 May 5;14(5):e240705. doi: 10.1136/bcr-2020-240705.

DOI:10.1136/bcr-2020-240705
PMID:33952567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8103392/
Abstract

Endometriosis is a common and painful condition. We present a case of a 33-year-old woman who had delivered triplets after in vitro fertilisation (IVF) for male factor infertility. She did not have any clinical features suggestive of endometriosis before the IVF treatment. The patient presented 7 years after conception, with premensural and postmenstrual abdominal pain and intense pain on defecation. The patient was diagnosed to have endometriosis in the tract of transvaginal ovum pick up in the right pouch of Douglas and right distal uterosacral ligament. The patient underwent excision of a nodule of endometriosis. The patient is asymptomatic 1 month after surgery. Histopathology analysis revealed features suggestive of endometriosis. The needle ovum pick up tract must have implanted the endometriotic tissue near the pararectal tissue. This is an unreported and late complication of IVF treatment.

摘要

子宫内膜异位症是一种常见且疼痛的病症。我们报告一例33岁女性病例，该女性因男性因素不孕接受体外受精（IVF）后产下三胞胎。在IVF治疗前，她没有任何提示子宫内膜异位症的临床特征。患者在受孕7年后出现经前和经后腹痛以及排便时剧痛。患者被诊断为在右道格拉斯窝经阴道取卵路径及右子宫骶骨韧带远端患有子宫内膜异位症。患者接受了子宫内膜异位症结节切除术。术后1个月患者无症状。组织病理学分析显示有提示子宫内膜异位症的特征。经针取卵路径必定在直肠旁组织附近植入了子宫内膜异位组织。这是IVF治疗一种未被报道的晚期并发症。