PDF(Pubmed)
Abstract：
A heterotopic pregnancy is a rare and serious pathological pregnancy. In this paper, we report a rare case of heterotopic pregnancy and perform a literature review. A 30-year-old patient with a history of left adnexectomy presented with persistent lower abdominal pain and hemorrhagic shock after single embryo transfer. Emergency laparoscopic exploration revealed a ruptured mass in the right isthmus of the fallopian tube, for which right salpingectomy was performed. After anti-inflammatory treatment and fetal preservation, the intrauterine pregnancy progressed smoothly, and a healthy baby was delivered at 39 weeks gestation. In this case, the patient\'s heterotopic pregnancy was possibly due to a natural pregnancy caused by sexual intercourse during treatment, so we recommend that sexual intercourse be avoided during transfer cycles.
摘要：
异位妊娠是一种罕见且严重的病理性妊娠。在本文中,我们报道了一例罕见的异位妊娠病例，并进行了文献复习。一名30岁的患者，有左附件切除术史，单胚胎移植后出现持续的下腹痛和出血性休克。急诊腹腔镜探查显示右输卵管峡部有一个破裂的肿块，进行了右输卵管切除术。抗炎治疗和保胎后,宫内妊娠进展顺利,一个健康的婴儿在怀孕39周时分娩。在这种情况下,患者异位妊娠可能是由于治疗期间性交导致的自然妊娠，所以我们建议在转院期间避免性交。
