Abstract：
Tubal abortion is characterized by the extrusion of the foetus into the abdominal (peritoneal) cavity. It can either be a complete extrusion or incomplete with residual tissue remaining in the fallopian tube. It is a type of ectopic pregnancy that is difficult to determine the exact incidence of tubal pregnancies. Identifying cases of tubal abortions is crucial for individualized care since it can lead to a more conservative treatment approach. The diagnosis should be based on ultrasound imaging, b-hCG levels and visual conformation during exploratory surgery, either open or laparoscopic. The article describes the case of a 30-year old patient who presented with lower abdominal pain and was admitted for a suspected ectopic pregnancy. Ultrasound imaging showed a mass resembling a tubal pregnancy next to the uterus with b-hCG levels of 111.8 U/L. During laparoscopic surgery, a tubal abortion was detected in the pouch of Douglas (Rectouterine pouch). This finding led us to preserve both fallopian tubes. Histopathology confirmed our clinical findings. A conservative approach can be sufficient in case of tubal abortions, which can lead to preserved fertility and tubal functions.
摘要：
输卵管流产的特征是胎儿挤压到腹腔（腹膜）。它可以是完全挤压或残存在输卵管中的不完全组织。这是一种异位妊娠，很难确定输卵管妊娠的确切发生率。识别输卵管流产病例对于个性化护理至关重要，因为它可以导致更保守的治疗方法。诊断应基于超声成像，在探查手术期间b-hCG水平和视觉构象，开放或腹腔镜。本文描述了一名30岁患者的情况，该患者表现为下腹痛，并因怀疑异位妊娠而入院。超声成像显示子宫旁类似输卵管妊娠的肿块，b-hCG水平为111.8U/L。在腹腔镜手术期间，在道格拉斯（直肠子宫袋）的袋中检测到输卵管流产。这一发现使我们保留了两个输卵管。组织病理学证实了我们的临床表现。在输卵管流产的情况下，保守的方法就足够了，可以保持生育能力和输卵管功能。
