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Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant

机译:双侧输卵管切除术和子宫中隔切除术导致健康婴儿足月分娩后的角膜异位妊娠

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Heterotopic pregnancy is the simultaneous occurrence of two or more implantation sites. A 25-year-old infertile patient with a history of bilateral salpingectomy, uterine septum resection, and left cornual resection was diagnosed with heterotopic pregnancy in her secondin vitrofertilization trial. She attended our clinic when she was 7-week pregnant, complaining initially of severe abdominal pain. Findings associated with peritoneal irritation were positive during the physical examination. Transvaginal ultrasound revealed right cornual ectopic pregnancy with a live fetus in the middle of the uterine cavity. Also free fluid was noted in the pelvis. A diagnosis of heterotopic pregnancy with rupture of the cornual pregnancy was made. She underwent emergency laparoscopy with aspiration of the ruptured ectopic pregnancy, suturing to the entire visible cornual margins, and assurance of good haemostasis. Her recovery was uneventful and she continued receiving care in our obstetric unit. She delivered a healthy newborn by cesarean section at term.
机译:异位妊娠是同时发生两个或多个植入位点。在第二次体外受精试验中,一名具有双侧输卵管切除术,子宫隔切除术和左角膜切除术史的25岁不育患者被诊断为异位妊娠。她怀孕7周时就去了我们的诊所,最初抱怨剧烈的腹痛。体检期间与腹膜刺激有关的发现为阳性。经阴道超声检查显示右角位异位妊娠,子宫腔中部有活胎儿。骨盆中还发现有游离液体。诊断为异位妊娠并发生角膜妊娠破裂。她接受了异位妊娠破裂的紧急腹腔镜检查,缝合了整个可见角膜缘,并确保了良好的止血效果。病情恢复平稳,她继续在我们的产科就诊。足月她通过剖宫产分娩了健康的新生儿。

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