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输卵管妊娠葡萄胎合并腹腔内出血一例

张佟 叶红

国际生殖健康/计划生育杂志2024,Vol.43Issue(1):28-31,4.
国际生殖健康/计划生育杂志2024,Vol.43Issue(1):28-31,4.DOI:10.12280/gjszjk.20230250

输卵管妊娠葡萄胎合并腹腔内出血一例

A Case of Tubal Ectopic Pregnancy with Hydatidiform Mole and Intraperitoneal Hemorrhage

张佟 1叶红1

作者信息

  • 1. 100026 首都医科大学附属北京妇产医院/北京妇幼保健院妇科微创中心
  • 折叠

摘要

Abstract

Tubal ectopic pregnancy with hydatidiform mole is extremely rare in clinical practice,and preoperative diagnosis is often difficult.The diagnosis is mainly based on the postoperative histopathology results.This article reports a 38-year-old woman whom underwent laparoscopic right fallopian tube resection in an emergency due to rupture of right fallopian tube pregnancy.The postoperative pathology revealed completeness hydatidiform mole.The patient recovered well after surgery,with a satisfactory decrease in serum human chorionic gonadotropin(hCG)during the follow-up period.There were no symptoms of vaginal bleeding,coughing,hemoptysis,or related lesion metastasis.Tubal pregnancy with hydatidiform mole often manifests as acute abdominal disease.Therefore,for patients with acute abdominal disease,the possibility of hydatidiform mole should be paid to.The treatment is mainly based on surgery,and chemotherapy should be performed if necessary.After surgery,close follow-up is required,and doctors should be noting the possibility of lesion erosion and malignancy too.

关键词

妊娠,输卵管/妊娠,异位/葡萄胎/腹腔/出血

Key words

Pregnancy,tubal/Pregnancy,ectopic/Hydatidiform mole/Abdominal cavity/Hemorrhage

引用本文复制引用

张佟,叶红..输卵管妊娠葡萄胎合并腹腔内出血一例[J].国际生殖健康/计划生育杂志,2024,43(1):28-31,4.

国际生殖健康/计划生育杂志

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