Lee Bruce, Salom Emery M, Del Mazo Alexa Marie
Center for Gynecologic Oncology, Herbert Wertheim College of Medicine, Florida International University, Miramar, Florida, USA. (Drs. Lee and Salom).
College of Osteopathic Medicine, NOVA Southeastern University, Davie, Florida, USA. (Dr. Del Mazo).
JSLS. 2025 Jul-Sep;29(3). doi: 10.4293/JSLS.2025.00072. Epub 2025 Sep 5.
Three cases of atypical ectopic pregnancies requiring surgical evaluation are presented. The first case represents an undiagnosed heterotopic pregnancy who initially presented with a 1 trimester spontaneous abortion and subsequently a ruptured ectopic pregnancy. The second case represents an omental ectopic pregnancy vs an extruded tubal ectopic pregnancy following a salpingectomy requiring omentectomy and appendectomy. The third case showcases a chronic cornual ectopic pregnancy incidentally found during a robotic myomectomy. These cases highlight uncommon presentations of atypical ectopic pregnancies, diagnostic challenges, and surgical treatment.
本文介绍了三例需要进行手术评估的非典型异位妊娠病例。第一例是未被诊断出的异位妊娠合并妊娠，最初表现为孕早期自然流产，随后发生异位妊娠破裂。第二例是输卵管切除术后出现的网膜异位妊娠与输卵管挤出性异位妊娠，需要进行网膜切除术和阑尾切除术。第三例展示了在机器人子宫肌瘤切除术中偶然发现的慢性子宫角部异位妊娠。这些病例突出了非典型异位妊娠的罕见表现、诊断挑战和手术治疗。
