Giacomello F, Larciprete G, Valensise H, Romanini C
Clinica Ostetrica e Ginecologica, Univerità degli Studi Tor Vergata, Roma.
Minerva Ginecol. 1998 Apr;50(4):151-5.
A case of spontaneous heterotopic pregnancy (simultaneous intra- and extrauterine) with living embryos is described. A 26 year old primigravida, affected by threatened abortion at 7 weeks gestation with right pelvic pain underwent a transvaginal sonography which allowed a certain diagnosis. A minilaparotomy with right salpingectomy was performed at the 8th week of gestation. Intrauterine pregnancy was uneventful and a healthy female infant was delivered at term weighting 3200 g. The international literature concerning heterotopic pregnancy is reviewed. Diagnostic and therapeutic aspects are discussed in the light of this case. Heterotopic pregnancy is an insidious pathology with a constant increase of incidence that should be considered as a diagnostic possibility in all cases at risk. Minilaparotomic salpingectomy in general anesthesia is probably the safest treatment for the patient and the least traumatic for a good outcome of her intrauterine pregnancy.
本文描述了一例有存活胚胎的自发性异位妊娠（同时合并宫内和宫外妊娠）病例。一名26岁的初产妇，妊娠7周时出现先兆流产并伴有右下腹疼痛，接受了经阴道超声检查，从而得以确诊。妊娠8周时进行了小切口剖腹术并切除右侧输卵管。宫内妊娠进展顺利，足月时产下一名健康女婴，体重3200克。本文回顾了关于异位妊娠的国际文献。结合该病例讨论了诊断和治疗方面的问题。异位妊娠是一种隐匿性疾病，发病率不断上升，在所有高危病例中都应考虑其诊断可能性。全身麻醉下的小切口剖腹输卵管切除术可能是对患者最安全的治疗方法，对其宫内妊娠的良好结局创伤最小。
