双侧输卵管切除术后受精及胚胎移植后发生的腹腔异位妊娠：一例报告并文献复习
Abdominal heterotopic pregnancy after fertilization and embryo transfer following bilateral salpingectomy: A case report and literature review.
作者信息
Liu Yifeng, Li Yu, Li Keting, Li Shuangdi
机构信息
Department of Gynecology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Department of Ultrasonography, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
出版信息
Front Reprod Health. 2022 Jul 18;4:921141. doi: 10.3389/frph.2022.921141. eCollection 2022.
BACKGROUND
Risk of heterotopic pregnancy following bilateral salpingectomy has increased considerably due to the widespread use of assisted reproductive technology. Poor understanding of this condition often causes delayed or missed diagnosis.
OBJECTIVE
In this report, we describe the case of a 30-year-old pregnant woman with lower abdominal pain lasting for half a day and a history of bilateral salpingectomy. Two embryos had been transferred 21 days preceding her presentation.
METHODS
Case report.
RESULTS
Laparoscopic surgery revealed intraperitoneal hemorrhage and proper ovarian ligament pregnancy confirmed by histopathology. Viable intrauterine pregnancy was verified 3 days later by ultrasound examination.
CONCLUSION
Heterotopic pregnancy is a serious condition that may be life-threatening. Clinicians should be aware of the potential for heterotopic pregnancy in patients receiving fertilization and embryo transfer after bilateral salpingectomy.
背景
由于辅助生殖技术的广泛应用，双侧输卵管切除术后发生异位妊娠的风险显著增加。对这种情况认识不足常导致诊断延迟或漏诊。
目的
在本报告中，我们描述了一名30岁孕妇的病例，她下腹部疼痛持续半天，有双侧输卵管切除术史。在她就诊前21天移植了两个胚胎。
方法
病例报告。
结果
腹腔镜手术显示腹腔内出血，组织病理学证实为阔韧带妊娠。3天后超声检查证实宫内妊娠存活。
结论
异位妊娠是一种严重的情况，可能危及生命。临床医生应意识到双侧输卵管切除术后接受受精和胚胎移植的患者发生异位妊娠的可能性。
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