Spontaneous Interstitial Pregnancy after Ipsilateral Laparoscopic Total Salpingectomy: A Case Report and Literature Review

腹腔鏡輸卵管全切除手術後自然發生同側輸卵管間質部異位妊娠：案例報告及文獻回顧

汪文生(Wen-Sheng Wang) ； 魏添勇(Tian-Yung Wei) ； 高衡峰(Heng-Feng Kao)

《童綜合醫學雜誌》 8卷2期 (2014/12) Pp. 74-78

摘要

輸卵管全切除手術後發生同側輸卵管間質部異位妊娠極為罕見，當輸卵管全切除手術後，懷孕時仍需注意妊娠著床的位置是否正確，有可能發生同側輸卵管間質部異位妊娠。本案例報告輸卵管妊娠破裂接受腹腔鏡輸卵管全切除手術三個月後，自然發生同側輸卵管間質部異位妊娠。由於同側再發性輸卵管間質部異位妊娠的診斷及處置相對困難，因此死亡風險較其他異位妊娠高，所以應對這類病患緊密監視妊娠情況，以免延誤輸卵管間質部異位妊娠的診斷及治療。

關鍵字

間質部妊娠 ； 異位妊娠 ； 輸卵管全切除手術

並列摘要

Ectopic pregnancies occurring in the interstitial portion of the fallopian tube after ipsilateral total salpingectomy are rare. However, a careful diagnosis of the location of gestation in the following pregnancy is critical so as not to overlook a recurrent ectopic pregnancy after salpingectomy. This case report presents an unusual case of a laparoscopically treated spontaneous interstitial pregnancy that occurred 3 months after ipsilateral laparoscopic total salpingectomy. Early diagnosis of ipsilateral interstitial pregnancies after total salpingectomy is difficult. The treatment of interstitial pregnancies is inherently more challenging and difficult and it is associated with a high mortality rate compared with other ectopic pregnancies. Close monitoring of ensuing pregnancies in these patients is important and early diagnosis should be emphasized to avoid possible complications because of a delayed diagnosis.

並列關鍵字

interstitial pregnancy ； ectopic pregnancy ； total salpingectomy