PDF(Pubmed)
Abstract：
UNASSIGNED: Ectopic pregnancy is a term used to describe pregnancies outside of the uterus. If ruptured, persistent trophoblastic tissue can be present at the site of an ectopic pregnancy, which is an unusual complication. In rare cases, the patients may present with primary implants.
UNASSIGNED: A 23-year-old woman who was pregnant for the first time complained of abdominal pain and was diagnosed with a 10-week tubal ectopic pregnancy. During laparotomy, trophoblastic implants were discovered in the rectum; however, the pregnancy did not rupture.
UNASSIGNED: The presented case report highlights a rare and late diagnosis of ectopic pregnancy in a 23-year-old primigravida woman with no known risk factors. The patient experienced sudden abdominal pain in the tenth week of gestation, leading to the surgical approach of salpingectomy. Notably, trophoblastic tissue was found in the rectum, indicating local invasion. It was then treated with methotrexate therapy. However, the low-resource setting in Syria limited the use of laparoscopy and resulted in the use of laparotomy.
UNASSIGNED: This case emphasizes the importance of considering trophoblastic implantation in the management plan for ectopic pregnancies, even in cases in which the pregnancy has not ruptured. It is crucial to evaluate all possible complications of this disease to ensure proper treatment and care of the patient.
UNASSIGNED: A 23-year-old woman who was pregnant for the first time complained of abdominal pain and was diagnosed with a 10-week tubal ectopic pregnancy. During laparotomy, trophoblastic implants were discovered in the rectum; however, the pregnancy did not rupture.
UNASSIGNED: The presented case report highlights a rare and late diagnosis of ectopic pregnancy in a 23-year-old primigravida woman with no known risk factors. The patient experienced sudden abdominal pain in the tenth week of gestation, leading to the surgical approach of salpingectomy. Notably, trophoblastic tissue was found in the rectum, indicating local invasion. It was then treated with methotrexate therapy. However, the low-resource setting in Syria limited the use of laparoscopy and resulted in the use of laparotomy.
UNASSIGNED: This case emphasizes the importance of considering trophoblastic implantation in the management plan for ectopic pregnancies, even in cases in which the pregnancy has not ruptured. It is crucial to evaluate all possible complications of this disease to ensure proper treatment and care of the patient.
摘要：
■异位妊娠是用于描述子宫外妊娠的术语。如果破裂,持续性滋养细胞组织可存在于异位妊娠部位，这是一个不寻常的并发症。在极少数情况下,患者可能存在初级植入物。
一名首次怀孕的23岁女性主诉腹痛，被诊断为10周输卵管异位妊娠。在剖腹手术中,在直肠中发现了滋养细胞植入物；然而，怀孕没有破裂。
本病例报告强调了一名23岁的primigravida妇女的罕见和晚期异位妊娠诊断，没有已知的危险因素。患者在妊娠第十周出现突然的腹痛，导致输卵管切除术的手术方法。值得注意的是,在直肠中发现了滋养细胞组织,表明当地入侵。然后用甲氨蝶呤治疗。然而,叙利亚的低资源环境限制了腹腔镜的使用,并导致了开腹手术的使用.
■该案例强调了在异位妊娠的管理计划中考虑滋养细胞植入的重要性，即使在怀孕没有破裂的情况下。评估该疾病的所有可能并发症以确保患者的适当治疗和护理至关重要。
一名首次怀孕的23岁女性主诉腹痛，被诊断为10周输卵管异位妊娠。在剖腹手术中,在直肠中发现了滋养细胞植入物；然而，怀孕没有破裂。
本病例报告强调了一名23岁的primigravida妇女的罕见和晚期异位妊娠诊断，没有已知的危险因素。患者在妊娠第十周出现突然的腹痛，导致输卵管切除术的手术方法。值得注意的是,在直肠中发现了滋养细胞组织,表明当地入侵。然后用甲氨蝶呤治疗。然而,叙利亚的低资源环境限制了腹腔镜的使用,并导致了开腹手术的使用.
■该案例强调了在异位妊娠的管理计划中考虑滋养细胞植入的重要性，即使在怀孕没有破裂的情况下。评估该疾病的所有可能并发症以确保患者的适当治疗和护理至关重要。
