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剖宫产瘢痕部位异位妊娠:一例报告

Heterotopic Cesarean Scar Pregnancy: A Case Report.

作者信息

Tariq Ahmed Alabsi Mariam, Sunder Amala, AlSada Abeer

机构信息

Obstetrics and Gynaecology, Bahrain Defence Force Hospital, Riffa, BHR.

出版信息

Cureus. 2024 Mar 11;16(3):e55943. doi: 10.7759/cureus.55943. eCollection 2024 Mar.

DOI:10.7759/cureus.55943
PMID:38601396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11005309/
Abstract

Heterotopic pregnancy is a rare condition with an intrauterine pregnancy coexisting with extrauterine pregnancy. It is considered a rare condition, with an incidence of one in 30,000 spontaneous pregnancies. Because of its rarity, there are no international management guidelines. It is associated with increased maternal morbidity and mortality. Heterotopic pregnancy is a challenging condition to diagnose because it can be missed due to the intrauterine pregnancy. The most common signs and symptoms to support and help us reach a diagnosis would be adnexal mass, abdominal pain, and enlarged uterus. In this case report, we aim to compare the clinical course and the outcome of intrauterine gestation while coexisting with scar pregnancy and the management options. This case report concerns a 34-year-old pregnant woman with a heterotopic pregnancy managed in Bahrain Defence Force Hospital.

摘要

异位妊娠是一种罕见的情况,即宫内妊娠与宫外妊娠同时存在。它被认为是一种罕见病症,在30000例自然妊娠中的发生率为1例。由于其罕见性,目前尚无国际管理指南。它与孕产妇发病率和死亡率的增加有关。异位妊娠是一种具有挑战性的诊断病症,因为它可能会因宫内妊娠而被漏诊。支持并帮助我们做出诊断的最常见体征和症状是附件包块、腹痛和子宫增大。在本病例报告中,我们旨在比较与瘢痕妊娠共存时宫内妊娠的临床过程和结局以及管理方案。本病例报告涉及一名在巴林国防军医院接受治疗的34岁异位妊娠孕妇。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af9b/11005309/2e78f0416fa2/cureus-0016-00000055943-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af9b/11005309/2e78f0416fa2/cureus-0016-00000055943-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af9b/11005309/2e78f0416fa2/cureus-0016-00000055943-i01.jpg

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World J Clin Cases. 2021 Aug 6;9(22):6428-6434. doi: 10.12998/wjcc.v9.i22.6428.
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Early intervention for heterotopic caesarean scar pregnancy to preserve intrauterine pregnancy may improve outcomes: a retrospective cohort study.早孕期剖宫产瘢痕部位妊娠的干预治疗以保留宫内妊娠可能改善结局:一项回顾性队列研究。
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Successful selective reduction of a heterotopic cesarean scar pregnancy in the second trimester: a case report and review of the literature.孕中期成功选择性减灭剖宫产瘢痕部位异位妊娠:一例报告并文献复习
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