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左炔诺孕酮使用后发生的单子宫内妊娠和双输卵管妊娠的自发性异位三胎妊娠：病例报告及文献综述

Spontaneous Heterotopic Triplet Pregnancies With Single Intrauterine and Twin Tubal Pregnancies Post-Levonorgestrel Use: Case Report and Literature Review.

作者信息

Tarafdari Azadeh, Eshraghi Nasim, Shbeeb Hawraa, Poorabdoli Marzie, Ghaemi Marjan, Parsaei Mohammadamin

机构信息

Department of Obstetrics and Gynecology, Imam Khomeini Hospital Complex, Vali-e-Asr Hospital Tehran University of Medical Sciences Tehran Iran.

Vali-e-Asr Reproductive Health Research Center Family Health Research Institute, Tehran University of Medical Sciences Tehran Iran.

出版信息

Clin Case Rep. 2025 Jan 6;13(1):e70080. doi: 10.1002/ccr3.70080. eCollection 2025 Jan.

DOI:10.1002/ccr3.70080
PMID:39764270
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11702392/
Abstract

A rare spontaneous triplet heterotopic pregnancy occurred in a patient using emergency contraception. This highlights the need to consider heterotopic pregnancy in differential diagnoses for patients presenting with abdominal pain or vaginal bleeding, even with detected intrauterine pregnancies, especially after failed emergency contraception, necessitating thorough laboratory and ultrasonographic diagnostic work-up.

摘要

一名使用紧急避孕措施的患者发生了罕见的自发性三联异位妊娠。这凸显了对于出现腹痛或阴道出血的患者，即使已检测到宫内妊娠，尤其是在紧急避孕失败后，在鉴别诊断中考虑异位妊娠的必要性，这需要进行全面的实验室和超声诊断检查。

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Spontaneous Heterotopic Triplet Pregnancies With Single Intrauterine and Twin Tubal Pregnancies Post-Levonorgestrel Use: Case Report and Literature Review.左炔诺孕酮使用后发生的单子宫内妊娠和双输卵管妊娠的自发性异位三胎妊娠：病例报告及文献综述
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本文引用的文献

1
Naturally conceived heterotopic pregnancy: an atypical presentation rare case report and review of current literature.自然受孕的异位妊娠：非典型表现的罕见病例报告及当前文献综述
J Surg Case Rep. 2024 May 31;2024(5):rjae373. doi: 10.1093/jscr/rjae373. eCollection 2024 May.
2
Spontaneous Heterotopic Cesarean Scar Triplet Gestation Following Uterine Ablation.子宫消融术后自发性剖宫产瘢痕处三胎妊娠
AJP Rep. 2024 Feb 18;14(1):e91-e95. doi: 10.1055/s-0044-1779654. eCollection 2024 Jan.
3
A Spontaneous Tubal Heterotopic Triplet Pregnancy Resulting in Viable Twin Deliveries.
一例自然发生的输卵管异位三胎妊娠并成功分娩存活双胎
AJP Rep. 2024 Jan 23;14(1):e7-e10. doi: 10.1055/a-2201-5796. eCollection 2024 Jan.
4
Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study.评估异位妊娠的危险因素及治疗效果：一项回顾性病例对照研究。
Int J Reprod Biomed. 2023 May 12;21(5):403-414. doi: 10.18502/ijrm.v21i5.13475. eCollection 2023 May.
5
Heterotopic Pregnancy: Case Series and Review of Diagnosis and Management.异位妊娠：病例系列及诊断与处理综述
Case Rep Obstet Gynecol. 2023 May 5;2023:2124191. doi: 10.1155/2023/2124191. eCollection 2023.
6
Successful Management of Triplet Heterotopic Pregnancy (Interstitial) With an Intrauterine Monochorionic Diamniotic Twin Pregnancy Through Laparoscopy: A Case Report.通过腹腔镜成功治疗三胎间质部异位妊娠合并宫内单绒毛膜双羊膜囊双胎妊娠：一例报告
Cureus. 2023 Apr 7;15(4):e37249. doi: 10.7759/cureus.37249. eCollection 2023 Apr.
7
A Case of Advanced Tubal Ectopic Pregnancy after Emergency Contraception.一例紧急避孕后晚期输卵管异位妊娠病例
Healthcare (Basel). 2022 Aug 22;10(8):1590. doi: 10.3390/healthcare10081590.
8
Heterotopic Pregnancy Secondary to Fertilization-Embryo Transfer: Risk Factors and Pregnancy Outcomes.受精-胚胎移植后继发的异位妊娠：危险因素与妊娠结局
Front Med (Lausanne). 2022 Jun 22;9:864560. doi: 10.3389/fmed.2022.864560. eCollection 2022.
9
The rising incidence of heterotopic pregnancy: Current perspectives and associations with in-vitro fertilization.异位妊娠发生率的上升：当前的观点和与体外受精的关系。
Eur J Obstet Gynecol Reprod Biol. 2021 Nov;266:138-144. doi: 10.1016/j.ejogrb.2021.09.031. Epub 2021 Oct 4.
10
Heterotopic tubal pregnancy with a naturally conceived live twin intrauterine pregnancy in a patient with systemic lupus erythematosus: A case report.系统性红斑狼疮患者发生异位输卵管妊娠合并自然受孕的宫内双活胎妊娠：一例报告
Case Rep Womens Health. 2021 Jul 31;32:e00348. doi: 10.1016/j.crwh.2021.e00348. eCollection 2021 Oct.