[Surgical management of ovarian ectopic pregnancy].

C Jäger, R Kreienberg, G Sauer
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Abstract

Ovarian pregnancies represent a small fraction of ectopic gestations. They are especially feared due to their life-threatening intraabdominal hemorrhage. Pre- and intraoperative diagnosis is difficult. Pathogenetically ovarian pregnancy arises from the retention of a fertilized ovum in the ovary. General guidelines for the medical management are missing. In this case report, we diagnosed a subacute ruptured ovarian pregnancy during surgery and performed a partial ovarectomy via operative laparoscopy. Other therapeutic options in managing ovarian ectopic pregnancy will be discussed.

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卵巢异位妊娠的外科治疗。
卵巢妊娠占异位妊娠的一小部分。尤其令人恐惧的是它们会导致危及生命的腹内出血。术前和术中诊断是困难的。病理性卵巢妊娠是由于受精卵滞留在卵巢而引起的。缺少医疗管理的一般指南。在这个病例报告中,我们在手术中诊断出亚急性卵巢破裂妊娠,并通过腹腔镜手术进行了部分卵巢切除术。其他治疗方案在管理卵巢异位妊娠将讨论。
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