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未监督药物流产致宫颈妊娠 1 例报告。

Cervical Ectopic Pregnancy with Unsupervised Intake of Medications for Abortion: A Case Report.

机构信息

Janak Medical and Research Center, Balaju, Kathmandu, Nepal.

Department of Obstetrics and Gynaecology, B&B Hospital, Gwarko, Lalitpur, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 Nov 1;61(267):897-900. doi: 10.31729/jnma.8345.

Abstract

UNLABELLED

Cervical ectopic pregnancy is the rarest form of ectopic pregnancy, where implantation occurs in the mucosa of the endocervical canal, below the internal os. Medical abortion is a safe and effective method of termination of early intrauterine pregnancies when carried out under the supervision of trained service providers. Unfortunately, unsupervised misuse of such methods can lead to grave morbidities, especially in ectopic pregnancies. We report a case of a 29-year-old female with cervical ectopic pregnancy, with a history of self-induced medical abortion. Her assumption that her pregnancy had been terminated caused a delay in seeking treatment, which led to complications during management. Ultrasonography revealed features suggestive of cervical ectopic pregnancy and evacuation of the fetus and placenta was done using curettage, during which she had uncontrolled severe vaginal bleeding leading to need of emergency hysterectomy.

KEYWORDS

case reports; cervical; ectopic pregnancy; hysterectomy; induced abortion.

摘要

中文译文

未加说明

宫颈妊娠是宫外孕中最罕见的一种,即受精卵着床于宫颈管黏膜内,位于子宫内口以下。在经过培训的服务提供者的监督下,药物流产是一种安全有效的终止早期宫内妊娠的方法。不幸的是,此类方法未经监督的滥用可能导致严重的并发症,尤其是在宫外孕中。我们报告了一例 29 岁女性宫颈妊娠病例,有自行药物流产史。她自行判断妊娠已经终止,导致延误就诊,在处理过程中出现并发症。超声检查提示宫颈妊娠特征,通过刮宫术取出胎儿和胎盘,术中她出现无法控制的严重阴道出血,导致需要紧急子宫切除术。

关键词:病例报告;宫颈;宫外孕;子宫切除术;人工流产。

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