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剖宫产瘢痕部位异位妊娠:1例罕见病例

Cesarean Scar Ectopic Pregnancy: A Rare Case.

作者信息

Joshi Jalormy S, Potdar Jyotsana, Shanoo Amardeep, Patel Nainita

机构信息

Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science (Deemed University), Wardha, IND.

出版信息

Cureus. 2024 Feb 26;16(2):e54920. doi: 10.7759/cureus.54920. eCollection 2024 Feb.

DOI:10.7759/cureus.54920
PMID:38544613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10966624/
Abstract

Cesarean scar ectopic pregnancy is one of the rarest of all ectopic pregnancies. Cesarean scar ectopic can occur after previous uterine manipulation, in vitro fertilization, hysterotomy, etc. With the increasing number of cesarean sections, the incidence of cesarean scar ectopics has increased worldwide. A high degree of suspicion over the occurrence of ectopic pregnancy after a cesarean section should be maintained by all healthcare workers. Timely diagnosis and treatment according to the presentation of an individual is of utmost importance. Here, we present a case of a 24-year-old second gravida with nine weeks of amenorrhea and a previous cesarean section presenting with the possibility of a scar ectopic, initially managed with medical management, followed by a planned laparotomy.

摘要

剖宫产瘢痕部位妊娠是所有异位妊娠中最罕见的情况之一。剖宫产瘢痕部位妊娠可发生于既往子宫手术、体外受精、子宫切开术后等。随着剖宫产数量的增加,全球范围内剖宫产瘢痕部位妊娠的发生率也在上升。所有医护人员都应高度怀疑剖宫产术后发生异位妊娠的情况。根据个体表现及时诊断和治疗至关重要。在此,我们报告一例24岁的经产妇,停经9周,既往有剖宫产史,表现为瘢痕部位妊娠的可能性,最初采用药物治疗,随后计划行剖腹手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7443/10966624/332ec8f8313d/cureus-0016-00000054920-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7443/10966624/3e43b3dae7c9/cureus-0016-00000054920-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7443/10966624/332ec8f8313d/cureus-0016-00000054920-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7443/10966624/3e43b3dae7c9/cureus-0016-00000054920-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7443/10966624/332ec8f8313d/cureus-0016-00000054920-i02.jpg

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Caesarean Scar Pregnancy: A Case Report.剖宫产瘢痕妊娠:一例报告
Acta Med Litu. 2022;29(1):124-130. doi: 10.15388/Amed.2022.29.1.17. Epub 2022 Jun 29.
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