肝异位妊娠伴出血继发膈肌粘连：一例报告
Hepatic ectopic pregnancy with hemorrhage secondary diaphragmatic adhesion: A case report.
作者信息
Yang Xiu-Ci, Fang Miao, Peng Yi-Gen, Wang Liang, Ju Rong
机构信息
Department of Emergency, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing 211100, Jiangsu Province, China.
Department of Gynecology and Obstetrics, Nanjing Medical University, Nanjing 211100, Jiangsu Province, China.
出版信息
World J Hepatol. 2024 Sep 27;16(9):1289-1296. doi: 10.4254/wjh.v16.i9.1289.
BACKGROUND
Primary abdominal pregnancy is an extremely rare form of ectopic pregnancy. Ectopic pregnancies that occur in the liver and diaphragm are even rarer, limited case reports are available in the literature.
CASE SUMMARY
A woman of childbearing age was transferred to the emergency department due to lumbar and abdominal pain radiating to the back toward the lower right. After a series of physical and auxiliary examinations, she was clinically diagnosed with hepatic ectopic pregnancy. Laparoscopic surgery was performed to remove the pregnancy tissue and achieve hemostasis. After a period of follow-up, the patient was successfully cured.
CONCLUSION
Paying attention to the patient's signs and utilizing imaging examination methods can help avoid missed diagnoses of liver pregnancy.
背景
原发性腹腔妊娠是一种极其罕见的异位妊娠形式。发生在肝脏和膈肌的异位妊娠更为罕见，文献中仅有有限的病例报告。
病例摘要
一名育龄女性因腰腹部疼痛向右下腹及背部放射而被转至急诊科。经过一系列体格检查和辅助检查，临床诊断为肝脏异位妊娠。行腹腔镜手术切除妊娠组织并实现止血。经过一段时间的随访，患者成功治愈。
结论
关注患者体征并利用影像学检查方法有助于避免肝脏妊娠的漏诊。
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