A rare case of spontaneous heterotopic pregnancy with successful pregnancy outcome following laparoscopic management of coexisting ruptured tubal pregnancy in Non-ART set up

G. D. Maiti; Tony Jose; Shilpa Gupta; Vibhu Chatterjee

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A rare case of spontaneous heterotopic pregnancy with successful pregnancy outcome following laparoscopic management of coexisting ruptured tubal pregnancy in Non-ART set up

机译：在非ART装置中罕见的自发性异位妊娠病例，在共存破裂性输卵管妊娠的腹腔镜处理后成功妊娠

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Heterotopic pregnancy is a rare clinical condition where both intrauterine (IU) and extra uterine pregnancy coexists. In a non-ART set up diagnosis of tubal ectopic pregnancy becomes challenging and difficult with coexisting intrauterine viable pregnancy, even when presents with ruptured form. Author is presenting one of his challenging experience in managing successfully such type of heterotopic ruptured tubal pregnancy in first trimester where extra uterine ruptured tubal pregnancy was addressed by laparoscopic salpingectomy under spinal anaesthesia with minimal uterine manipulation to continue intrauterine pregnancy till term and thus had a successful pregnancy outcome.

机译：异位妊娠是宫内（IU）和宫外妊娠并存的罕见临床疾病。在非ART设置中，即使存在破裂形式的子宫内活孕，对于输卵管异位妊娠的诊断也变得充满挑战和困难。作者介绍了他在成功处理这种类型的妊娠早期异位破裂性输卵管妊娠中的挑战性经验之一，在这种情况下，在脊髓麻醉下通过腹腔镜输卵管切除术解决了子宫外破裂性输卵管妊娠，并且仅需极少的子宫操作就可以继续子宫内妊娠直至足月，从而获得了成功妊娠结局。

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《International Journal of Reproduction, Contraception, Obstetrics and Gynecology》 |2018年第6期|共3页
作者
G. D. Maiti; Tony Jose; Shilpa Gupta; Vibhu Chatterjee;
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中图分类妇产科学;
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Heterotopic pregnancyLaparoscopic management;

机译：异位妊娠腹腔镜处理;

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1. Heterotopic quadruplet pregnancy: Conservative management with ultrasonographically-guided KCL injection of cornual pregnancy and laparoscopic operation of tubal pregnancy [J] . ParkH.-R., MoonM.-J., AhnE.-H., Fetal diagnosis and therapy . 2009,第4期

机译：异位四联体妊娠：超声引导下的角膜妊娠KCL注射和输卵管妊娠的腹腔镜手术的保守治疗
2. Spontaneous Heterotopic Cesarean Scar Pregnancy: Conservative Management by Transvaginal Sonographic Guidance and Successful Pregnancy Outcome [J] . Uysal Fatma, Uysal Ahmet Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine . 2013,第3期

机译：自发性异位剖宫产疤痕妊娠：保守管理经阴道超声引导和成功的妊娠结局。
3. Laparoscopic Excision of Coexisting Left Tubal and Right Pseudotubal Pregnancy after Conservative Management of Previous Ectopic Pregnancy with Methotrexate: An Unusual Clinical Entity [J] . PanayotisXiromeritis, ChrysoulaMargioula-Siarkou, DimosthenisMiliaras, Case Reports in Surgery . 2015,第SUPPLEMENTa1期

机译：保守治疗既往异位妊娠并使用甲氨蝶呤后并发腹腔镜切除左，右假性输卵管妊娠：这是一个不常见的临床现象
4. Laparoscopic surgery in the treatment of nonruptured tubal pregnancy [C] . Andrzej Mutrynowski, Academy of Medicine, Warsaw, Lasers in Medicine . 1996

机译：腹腔镜手术治疗不破裂输卵管妊娠
5. The association between maternal use of selective serotonin reuptake inhibitors during pregnancy and adverse pregnancy outcomes. [D] . Taylor, Lockwood Grant. 2010

机译：孕妇在怀孕期间使用选择性5-羟色胺再摄取抑制剂与不良妊娠结局之间的关联。
6. Spontaneous heterotopic pregnancy with tubal rupture and pregnancy progressing to term [O] . Reema Kumar, Madhusudan Dey 2015

机译：自发性异位妊娠伴输卵管破裂和妊娠进展至足月
7. Laparoscopic Management of a Spontaneous Interstitial Heterotopic Pregnancy with Preservation of the Intrauterine Pregnancy: Case Report from Middle East [O] . Ahmad Talal Chamsi, Ashraf Dawood 2018

机译：腹腔镜治疗自发间质异位妊娠，保存宫内节妊娠：中东的病例报告

A rare case of spontaneous heterotopic pregnancy with successful pregnancy outcome following laparoscopic management of coexisting ruptured tubal pregnancy in Non-ART set up

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