Department of Obstetrics and Gynecology, The Japanese Red Cross Maebashi Hospital, Maebashi, Japan.
J Obstet Gynaecol Res. 2021 Aug;47(8):2773-2776. doi: 10.1111/jog.14821. Epub 2021 May 9.
A patient became pregnant by in vitro fertilization and embryo transfer (IVF-ET). She had a history of laparoscopic bilateral salpingectomy and enucleation of a left ovarian tumor due to bilateral hydrosalpinx and left endometriotic cyst in primary infertility. She noticed abdominal pain and visited the nearby general hospital by ambulance (gestational age 6 weeks and 1 day). She was admitted to our department because of ascites. An abdominal hemorrhage due to a rupture of the residual corneal segment of the fallopian tube was suspected and emergency laparoscopic surgery was performed. Simultaneous internal and external pregnancy resulted in rupture of the right tubal corneal at the ectopic site of pregnancy. The baby in the uterus grew smoothly and was delivered by cesarean section. This is a report of a case in which live birth after rupture of uterine cornua in simultaneous corneal and intrauterine pregnancies. We searched the literature for similar cases and examined management methods.
一位患者通过体外受精和胚胎移植（IVF-ET）怀孕。她因双侧输卵管积水和左侧子宫内膜异位囊肿导致原发性不孕而行腹腔镜双侧输卵管切除术和左侧卵巢肿瘤剔除术。她因腹痛就诊于当地综合医院（孕周 6 周 1 天），后因腹水转入我科。考虑到输卵管残端破裂导致腹腔内出血，我们进行了紧急腹腔镜手术。同时发生的输卵管和宫内妊娠导致异位妊娠部位的右侧输卵管残端破裂。子宫内的胎儿生长顺利，通过剖宫产分娩。这是一例子宫角破裂并发同时性角膜和宫内妊娠后活产的病例报告。我们检索了文献中类似的病例，并探讨了处理方法。
