PDF(Pubmed)
Abstract：
Interstitial pregnancy is a rare type of ectopic pregnancy that commonly results in uterine rupture and life-threatening haemorrhage. Interstitial ectopic pregnancies are associated with a 2-5% mortality rate and a high risk of uterine rupture before 12 weeks of gestation when compared to tubal pregnancy. Due to the thickness and distensibility of the interstitial segment of the Fallopian tube, ectopic pregnancy in this location attains a considerable size before complications arise. Unfortunately, this clinical entity may prove to be a diagnostic challenge, leading to delays in treatment and significant morbidity and mortality in women of reproductive age. Herein, we report a case of a ruptured interstitial ectopic pregnancy occurring at 17 weeks of gestation that was successfully managed with surgical intervention, after proving to be a diagnostic challenge.
摘要：
间质性妊娠是一种罕见的异位妊娠，通常会导致子宫破裂和危及生命的出血。与输卵管妊娠相比，间质性异位妊娠的死亡率为2-5％，妊娠12周前子宫破裂的风险较高。由于输卵管间质段的厚度和扩张性，在此位置的异位妊娠在并发症出现之前达到相当大的规模。不幸的是,这个临床实体可能被证明是一个诊断挑战，导致治疗延误，育龄妇女的发病率和死亡率很高。在这里，我们报告了一例发生在妊娠17周时的间质异位妊娠破裂病例，该病例通过手术干预成功治疗。在被证明是诊断挑战之后。
