体外受精后并发急性阑尾炎导致的宫外孕破裂。
Leaking Ectopic Pregnancy Following In vitro Fertilization with Associated Acute Appendicitis.
机构信息
Department of Surgery, University of Benin Teaching Hospital, Benin City, Nigeria. +2348037214386, E-mail-
Delta State University, Oghara, Delta State, Nigeria.
出版信息
West Afr J Med. 2024 Apr 30;41(4):485-488.
BACKGROUND
Ectopic pregnancy associated with appendicitis is rare, with very few cases reported in the literature. It is unclear if appendicitis is coincidentally associated with ectopic pregnancy or a possible risk factor for the development of ectopic pregnancy. Ruptured ectopic pregnancy has also been postulated as a possible risk factor leading to appendicitis because of the probable inflammatory reaction involving the adjacent appendix.
METHODS
We present a 34-year-old female who presented with right lower abdominal pain and bleeding per vaginam, three weeks after in-vitro fertilization and embryo transfer.
RESULTS
A diagnosis of ectopic pregnancy was made following a positive β-HCG and empty uterine cavity on pelvic ultrasound scan. Intraoperatively, the appendix was noted to be inflammed and it was removed and confirmed on histology examination as acute appendicitis.
CONCLUSION
Ruptured ectopic pregnancy associated with acute appendicitis is rare, with few cases reported in the literature. We recommend an examination for other possible differentials of ruptured ectopic pregnancy like appendicitis during surgery for ectopic pregnancy on the right side.
背景
宫外孕合并阑尾炎罕见，文献报道病例极少。阑尾炎是否与宫外孕巧合相关，还是宫外孕发生的一个可能的危险因素，目前尚不清楚。由于可能涉及邻近阑尾的炎症反应，破裂的宫外孕也被认为是导致阑尾炎的一个可能的危险因素。
方法
我们介绍一位 34 岁女性，她在体外受精和胚胎移植后三周出现右下腹痛和阴道流血。
结果
β-HCG 阳性，盆腔超声检查宫腔内未见妊娠囊，诊断为宫外孕。术中发现阑尾发炎，切除阑尾并经组织学检查证实为急性阑尾炎。
结论
宫外孕破裂合并急性阑尾炎罕见，文献报道病例极少。我们建议在右侧宫外孕手术时，检查其他可能的宫外孕破裂的鉴别诊断，如阑尾炎。
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