输卵管切除术后输卵管残端发生异位妊娠1例报告

Maradona E. Isikhuemen, Weyinmi E. Kubeyinje
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引用次数: 0

摘要

摘要输卵管残端异位妊娠是一种罕见但可能危及生命的疾病。早期诊断和有效治疗需要高度的怀疑指数,从而最大限度地减少与这种类型的异常妊娠相关的发病率。本报告的目的是记录一个罕见的病例重复异位妊娠在输卵管残端后,以前的输卵管切除术。我们报告了一位35岁的第1+ 1段,有一个活着的孩子,她曾因右侧异位妊娠破裂而进行过一次右侧输卵管切除术。她主诉腹痛,持续一天,五周无月经史。入院时,她处于休克状态,有腹内积液(血)的特征。腹部盆腔超声扫描显示腹腔内积液伴肠浮袢。她被复苏,输卵管残端宫外孕破裂行输卵管切除术,并在随访中保持稳定。总之,输卵管残端异位妊娠是输卵管切除术后罕见但可能的并发症。早期诊断和有效管理需要高的怀疑指数。
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Case Report of Ectopic Pregnancy Occurring in the Tubal Stump after a Previous Salpingectomy
Abstract Tubal stump ectopic pregnancy is rare but a potentially life-threatening condition. A high index of suspicion is required for early diagnosis and effective treatment, thereby minimising morbidity associated with this type of abnormal pregnancy. The aim of this report was to document a rare case of repeat ectopic pregnancy in the tubal stump following previous salpingectomy. We report a 35-year-old para 1+ 1 with one living child who had one previous right salpingectomy for ruptured right ectopic pregnancy. She presented with complaint of abdominal pain of one-day duration following a five-week history of absent menstruation. On presentation, she was in shock and there were features of intra-abdominal fluid (blood) collection. Abdominopelvic ultrasound scan demonstrated intraperitoneal fluid collection with floating loops of bowel. She was resuscitated, had salpingectomy for ruptured tubal stump ectopic pregnancy, and remained stable on follow-up. In conclusion, tubal stump ectopic pregnancy is a rare but possible complication of a previous salpingectomy. A high index of suspicion is required for early diagnosis and effective management.
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来源期刊
自引率
0.00%
发文量
65
审稿时长
20 weeks
期刊介绍: The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.
期刊最新文献
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