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Ruptured Heterotopic Tubal Pregnancy for a Patient with
a History of Segmental Salpingectomy from Ectopic
Pregnancy: A Case Report |
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Kyung Bum Nam, MD1 Sook Namkung, MD1, Myung Sun Hong, MD1,
Heung Cheol Kim, MD1, Young Cho, MD2, Young Hee Choi, MD3 |
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1Department of Radiology, Chuncheon Sacred Heart Hospital, Korea
2Department of Obstetrics and Gynecology, Chuncheon Sacred Heart Hospital, Korea
3Department of Pathology, Hangang Sacred Heart Hospital, Korea |
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Heterotopic pregnancy refers to the simultaneous development of an intrauterine
pregnancy and an extrauterine pregnancy. We experienced a case of a ruptured heterotopic
pregnancy for a patient with a history of a right segmental salpingectomy from
an ectopic pregnancy. The 30-year-old patient with amenorrhea for six weeks complained
of lower abdominal pain with hypovolemic shock. Transabdominal ultrasonography
showed diffuse hemoperitoneum with a structure similar to an ectatic tube or a
deformed cyst with no echogenic double ring or peripheral hypervascularity in the right
adnexa and an intrauterine gestational sac. We considered a ruptured corpus luteum
cyst as an ultrasonographic finding and found a ruptured tubal mass in the right
salpinx and hemoperitoneum through an emergency laparotomy. We performed a
right salpingectomy, and the histopathologic report confirmed ectopic pregnancy. |
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Keyword : Heterotopic pregnancy; Ectopic pregnancy; Corpus luteum cyst; Hemoperitoneum; Ultrasound |
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pdf파일 : 175-177남경범.pdf
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