自然受孕后发生异位妊娠破裂的罕见病例需立即引起关注。
A Rare Case of Ruptured Heterotopic Pregnancy after Natural Conception Demanding Immediate Attention.
作者信息
Galatis Dionysios, Beneko Christos, Kalaitzi Konstantina, Karachalios Panagiotis-Konstantinos, Chatzipanagiotis Ioannis, Diamantakis Ippokratis, Anifantaki Foteini, Batsakoutsas Vasileios, Kiriakopoulos Nikolaos
机构信息
V' Department of Ob/Gyn, Helena Venizelou, General and Maternity Hospital of Athens, Greece.
出版信息
Acta Med Acad. 2025 Apr;54(1):47-50. doi: 10.5644/ama2006-124.451.
OBJECTIVE
We present the case of a ruptured heterotopic pregnancy after natural conception and its management during hospitalization.
CASE REPORT
The patient presented to the emergency department of our hospital with symptoms of lower abdominal pain and vaginal blood loss. She reported a confirmed intrauterine pregnancy at 8 weeks' gestation following natural conception. The patient was admitted to the hospital with the diagnosis of a ruptured ovarian cyst. Due to hemodynamic instability, an urgent exploratory laparotomy was performed. The histological review showed an ectopic fallopian pregnancy, confirming the final diagnosis of an heterotopic pregnancy.
CONCLUSION
Heterotopic pregnancy is a very rare condition, even more so if it happens spontaneously. As a result, it has been insufficiently studied in relation to proper management and timely diagnosis.
目的
我们报告一例自然受孕后异位妊娠破裂及其住院期间的处理情况。
病例报告
患者因下腹痛和阴道出血症状就诊于我院急诊科。她报告自然受孕后经确认妊娠8周，为宫内妊娠。患者因卵巢囊肿破裂诊断入院。由于血流动力学不稳定，遂紧急行剖腹探查术。组织学检查显示为输卵管异位妊娠，最终确诊为异位妊娠。
结论
异位妊娠是一种非常罕见的情况，自然发生的异位妊娠更是如此。因此，关于其恰当处理和及时诊断的研究尚不充分。
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