关键词: caesarean delivery caesarean scar ectopic pregnancy ectopic pregnancy laparotomy rupture scar ectopic

来  源:   DOI:10.7759/cureus.59422   PDF(Pubmed)

Abstract:
Caesarean scar ectopic pregnancy is the rarest form of ectopic pregnancy. Nowadays, with the rise in caesarean deliveries, along with better awareness and improvement in ultrasound diagnosis, there is an increase in the number and detection of caesarean scar ectopic pregnancy. A 28-year-old female patient with one previous caesarean delivery and a spontaneous abortion at three months visited the obstetrics emergency department due to three months of amenorrhea, abdominal pain, and vaginal bleeding on and off for two days. The patient was noticed to have severe anemia. After stabilizing the patient with blood transfusion, a laparotomy was performed with the presentation of hemoperitoneum and caesarean scar rupture. Fetus and soft vascular mass seen protruding from the previous scar were extracted. The caesarean scar site was repaired in layers.
摘要:
剖宫产瘢痕异位妊娠是异位妊娠的最罕见形式。如今,随着剖腹产的增加,随着更好的认识和改进超声诊断,剖宫产瘢痕异位妊娠的数量和检出量均有增加。一名28岁女性患者,先前曾有一次剖腹产,三个月时自然流产,因闭经三个月,前往产科急诊科就诊,腹痛,还有两天的阴道出血.患者被发现患有严重贫血。输血后患者稳定下来,剖腹手术表现为腹膜积血和剖腹产瘢痕破裂.取出胎儿和从先前疤痕突出的软血管块。剖腹产疤痕部位被分层修复。
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