Fisch B, Peled Y, Kaplan B, Zehavi S, Neri A
Department of Obstetrics and Gynecology, Rabin Medical Center, Tel Aviv, Israel.
Obstet Gynecol. 1996 Oct;88(4 Pt 2):642-3. doi: 10.1016/0029-7844(96)00213-x.
We present the first case of abdominal pregnancy after in vitro fertilization and embryo transfer in a patient without oviducts.
A 38-year-old woman, who previously had had two salpingectomies because of two tubal pregnancies, was admitted to our department with intermittent vaginal bleeding and abdominal pain, 21 days after embryo transfer. Exploratory laparotomy revealed a moderate amount of blood in the peritoneal cavity and a mass consisting of blood clots and tissue fragments attached to the posterior aspect of the right broad ligament. Pathologic examination confirmed the diagnosis of abdominal pregnancy.
Abdominal pregnancy may be the outcome of embryo transfer and should hence be considered a potential complication of the procedure.
我们报告首例在无输卵管的患者中经体外受精和胚胎移植后发生腹腔妊娠的病例。
一名38岁女性，此前因两次输卵管妊娠接受了双侧输卵管切除术，在胚胎移植后21天因间歇性阴道出血和腹痛入住我科。剖腹探查发现腹腔内有中等量血液，以及一个由血凝块和组织碎片组成的肿块，附着于右侧阔韧带后部。病理检查确诊为腹腔妊娠。
腹腔妊娠可能是胚胎移植的结果，因此应被视为该手术的潜在并发症。
