Department of Gynecology and Obstetrics, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China.
J Obstet Gynaecol Res. 2021 Oct;47(10):3712-3715. doi: 10.1111/jog.14942. Epub 2021 Jul 18.
We present the first case that describes a right broad ligament pregnancy patient complicated with pelvic congestion syndrome. A 23-year-old female referred to the gynecological emergency room with pelvic pain and amenorrhea. Serum beta-human chorionic gonadotropin (β-hCG) test of the patient was positive, and ultrasonography indicated that there were mixed mass signals and a large number of blood flow signals in the right parauterine area. Considering the possibility of a diagnosis of ectopic pregnancy, we performed laparoscopic exploration for this patient. According to the intraoperative situation, we formally diagnosed the right broad ligament pregnancy. Although the intraoperative hemorrhage was fierce, we still successfully completed the resection of the lesion and performed the ipsilateral salpingectomy. We performed three-dimensional CT vascular reconstruction on the patient after surgery, and diagnosed right pelvic congestion syndrome combined with the patient's usual chronic pelvic pain symptoms.
我们报告首例右侧阔韧带妊娠合并盆腔淤血综合征患者。患者为 23 岁女性,因腹痛和闭经就诊于妇科急诊。患者血清β-人绒毛膜促性腺激素(β-hCG)检测阳性,超声提示右侧宫旁区混合性包块,血流信号丰富。考虑异位妊娠可能性大,行腹腔镜探查术。根据术中所见,我们明确诊断为右侧阔韧带妊娠。虽然术中出血凶猛,但我们仍成功完成病灶切除,并同期行患侧输卵管切除术。术后为患者行三维 CT 血管重建,诊断为右侧盆腔淤血综合征,结合患者平素慢性盆腔痛症状,诊断明确。