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罕见的剖宫产瘢痕异位妊娠合并输卵管异位妊娠:一例报告

Rare Concomitant Cesarean Scar Ectopic Pregnancy With Tubal Ectopic Pregnancy: A Case Report.

作者信息

Thakur Bharati, Shrimali Tomesh

机构信息

Pathology, Jawaharlal Nehru Medical College (JNMC) Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Obstetrics and Gynecology, District Hospital Dhamtari, Dhamtari, IND.

出版信息

Cureus. 2023 Apr 11;15(4):e37434. doi: 10.7759/cureus.37434. eCollection 2023 Apr.

Abstract

A cesarean ectopic pregnancy is the rarest of all pregnancies and occurs when pregnancy implants on a cesarean scar. Incidence estimated in overall cesarean delivery is 1/1,800-1/2,500. Following a cesarean procedure, this abnormal embryo implantation into the uterine myometrium and fibrous tissues has a high rate of morbidity and mortality. The most common type of ectopic pregnancy is tubal ectopic pregnancy, and both their incidence and their frequency are rising. Early detection and treatment of ectopic pregnancy are crucial since delays in these processes might result in maternal death and morbidity. We are reporting a case of two concurrent pregnancies in a 27-year-old female with two separate implantation sites. The simultaneous occurrence of a tubal and an ectopic scar pregnancy was highly unusual. Early detection and treatment of ectopic pregnancy help prevent complications, death, and morbidity because it is a potentially fatal condition.

摘要

剖宫产瘢痕妊娠是所有妊娠中最罕见的情况,发生于妊娠物着床在剖宫产瘢痕处时。据估计,在总体剖宫产分娩中其发生率为1/1800 - 1/2500。剖宫产术后,这种异常的胚胎着床于子宫肌层和纤维组织,具有较高的发病率和死亡率。最常见的异位妊娠类型是输卵管异位妊娠,其发生率和发病频率都在上升。早期发现和治疗异位妊娠至关重要,因为这些过程的延迟可能导致孕产妇死亡和发病。我们报告一例27岁女性同时发生两处妊娠着床的病例。输卵管妊娠和剖宫产瘢痕异位妊娠同时发生的情况极为罕见。早期发现和治疗异位妊娠有助于预防并发症、死亡和发病,因为它是一种潜在的致命疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/895a/10173891/7c6e6a2e98c1/cureus-0015-00000037434-i01.jpg

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