PDF(Pubmed)
Abstract：
It can be difficult to distinguish an interstitial pregnancy from an angular pregnancy because of the close proximity of the implantation sites. The difference in pregnancy outcomes between interstitial and angular pregnancies makes this distinction very important. A 39-year-old gravida 7 para 4 who had undergone a laparoscopic right salpingo-oophorectomy (RSO) one year ago and a pregnancy termination via dilation and curettage (D&C) three weeks ago was suspected to have a ruptured right interstitial or angular pregnancy. The patient underwent a laparoscopic total hysterectomy. The postoperative histologic diagnosis was an abortion of a right angular pregnancy. Indeed, it is essential to rule out an interstitial or angular pregnancy during adnexal surgery, even soon after elective abortion. Proper management of an angular pregnancy could prevent a fatal outcome following a rupture or massive hemorrhage.
摘要：
由于植入部位非常接近，因此很难区分间质妊娠和角度妊娠。间质妊娠和角状妊娠之间妊娠结局的差异使这种区别非常重要。一名39岁的gravida7para4在一年前接受了腹腔镜右输卵管卵巢切除术（RSO），三周前通过扩张和刮宫（D＆C）终止妊娠，被怀疑右间质破裂或角状妊娠。患者接受了腹腔镜全子宫切除术。术后组织学诊断为直角妊娠流产。的确,在附件手术过程中，必须排除间质或角状妊娠，甚至在选择性堕胎后不久。正确管理角度妊娠可以防止破裂或大出血后的致命后果。
