Starks G C
J Reprod Med. 1980 Aug;25(2):79-82.
An unusual case of twin unilateral interstitial pregnancy with premature rupture of membranes and leiomyomata uteri is described. A review of the literature reveals only two previous cases of this type. On admission, the patient was diagnosed as having an intrauterine pregnancy of 27 weeks' gestation, with documented premature rupture of the membranes having occurred. An ultrasound was performed revealing a fibroid uterus, an anterior placenta and an gestation. Septicemia ensued, and antibiotics plus pitocin was begun; however, no uterine response occurred. A culdocentesis revealed free intraabdominal blood. Laparotomy followed, revealing a ruptured twin interstitial pregnancy with placenta accreta and leiomyomata of the uterus.
本文描述了一例罕见的双胎单侧间质部妊娠病例，该病例伴有胎膜早破和子宫肌瘤。文献回顾显示此前仅有两例此类病例。入院时，患者被诊断为妊娠27周的宫内妊娠，并有胎膜早破的记录。超声检查显示为子宫肌瘤、前置胎盘及妊娠情况。随后发生了败血症，开始使用抗生素加催产素治疗；然而，子宫未出现反应。后穹窿穿刺抽出腹腔内游离血。随后进行剖腹探查，发现双胎间质部妊娠破裂，伴有胎盘植入和子宫肌瘤。
