双侧输卵管妊娠异时性表现的病例报告
A case report of heterochronic presentation of a bilateral tubal pregnancy.
作者信息
Mansouri Zeinab, Tarafdari Azam, Azizi Sepideh, Mehdikhani Bahareh, Shababi Amirali, Vaghef Davari Farzad
机构信息
Department of Obstetrics & Gynecology, Imam Khomeini Hospital complex Tehran University of Medical sciences Tehran Iran.
Shahid Akbarabadi Clinical Research Development Unit (ShACRDU) Iran University of Medical Sciences (IUMS) Tehran Iran.
出版信息
Clin Case Rep. 2023 Oct 25;11(11):e8072. doi: 10.1002/ccr3.8072. eCollection 2023 Nov.
KEY CLINICAL MESSAGE
This paper highlights that diagnosis and treatment of one ectopic pregnancy does not rule out the happening of a second ectopic pregnancy in the same patient concurrently, especially if the patient has rising β-hCG and persistent symptoms.
ABSTRACT
Bilateral tubal pregnancy (BTP) is the most uncommon form of tubal ectopic pregnancy. Complications can lead to maternal morbidity and mortality. We reported a case of left tubal pregnancy and the patient underwent laparoscopic salpingostomy. During the follow-up, the contralateral ectopic pregnancy was discovered and treated with MTX.
关键临床信息
本文强调，一次异位妊娠的诊断和治疗并不能排除同一患者同时发生第二次异位妊娠的可能性，尤其是当患者β - hCG水平升高且症状持续时。
摘要
双侧输卵管妊娠（BTP）是输卵管异位妊娠最罕见的形式。并发症可导致孕产妇发病和死亡。我们报告了一例左侧输卵管妊娠病例，患者接受了腹腔镜输卵管造口术。在随访期间，发现对侧异位妊娠并采用甲氨蝶呤进行治疗。
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