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[腹腔妊娠。一项始终存在的挑战]

[Abdominal pregnancy. An ever present challenge].

作者信息

Pinto V, Marinaccio M, Causio F, Putignano G

机构信息

Cattedra di Medicina dell'età prenatale, Università degli Studi-Bari.

出版信息

Minerva Ginecol. 1996 Jul-Aug;48(7-8):321-6.

PMID:8966005
Abstract

A case of abdominal pregnancy resulting from the rupture of the atresic horn of a bicornuate uterus and asymptomatic till the 23rd week of amenorrhea is reported. The peculiarities of this case lie in the advanced gestational age and in the association between two pathologies undoubtedly unusual as cornual and abdominal pregnancy. Discussion is focused on the limits of classical obstetrical semeiology, the possibilities of the instrumental examinations, the criteria that should guide decision-making and on the correct surgical management of this uncommon even if potentially life-threatening clinical pathology.

摘要

本文报道了一例双角子宫闭锁角破裂导致的腹腔妊娠病例,该病例在闭经23周前均无症状。此病例的特殊之处在于孕周较大,以及两种无疑不常见的病理情况——宫角妊娠和腹腔妊娠——同时存在。讨论集中在经典产科症状学的局限性、器械检查的可能性、指导决策的标准,以及对这种虽不常见但可能危及生命的临床病理情况的正确手术处理。

相似文献

1
[Abdominal pregnancy. An ever present challenge].[腹腔妊娠。一项始终存在的挑战]
Minerva Ginecol. 1996 Jul-Aug;48(7-8):321-6.
2
Advanced abdominal pregnancy resulting from late uterine rupture.晚期子宫破裂导致的晚期腹腔妊娠。
Obstet Gynecol. 2008 Feb;111(2 Pt 2):502-4. doi: 10.1097/01.AOG.0000279451.51446.c1.
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[Abdominal pregnancy with a malformed uterus (author's transl)].伴有子宫畸形的腹腔妊娠(作者译)
J Gynecol Obstet Biol Reprod (Paris). 1980;9(3):369-71.
4
Chronic abdominal pregnancy following rupture from a bicornuate uterus.双角子宫破裂后发生慢性腹腔妊娠。
Arch Gynecol Obstet. 2007 May;275(5):393-5. doi: 10.1007/s00404-006-0249-5. Epub 2006 Sep 22.
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Rare case of live birth in a ruptured rudimentary horn pregnancy.残角子宫妊娠破裂后活产的罕见病例。
J Obstet Gynaecol Res. 2011 Aug;37(8):1169-72. doi: 10.1111/j.1447-0756.2010.01497.x. Epub 2011 Apr 19.
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Asymptomatic horn rudimentary pregnant uterine rupture with a viable fetus.无症状性角部残角子宫破裂合并存活胎儿。
Tunis Med. 2009 Sep;87(9):633-6.
7
Secondary abdominal pregnancy.继发性腹腔妊娠
J Indian Med Assoc. 1990 Jan;88(1):17-8.
8
Spontaneous rupture of a gravid uterus resulting in abdominal pregnancy and lithokelyphos formation.妊娠子宫自发性破裂导致腹腔妊娠并形成石胎。
J Indian Med Assoc. 1991 Jun;89(6):172-3.
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Advanced abdominal pregnancy.
Ethiop Med J. 2008 Jan;46(1):99-103.
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[Rupture of non-communicating rudimentary pregnant uterine horn in a pseudo-unicornuate uterus at 23 weeks of amenorrhea. Case report].[闭经23周时,残角子宫妊娠在双角子宫残角子宫处破裂。病例报告]
Gynecol Obstet Fertil. 2008 Apr;36(4):400-2. doi: 10.1016/j.gyobfe.2007.11.016.

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