Intrauterine pregnancy with ovarian corpus luteum of pregnancy 2 cases of rupture.docVIP

 PAGE \* MERGEFORMAT 6 Intrauterine pregnancy with ovarian corpus luteum of pregnancy 2 cases of rupture 1 Case information 1.1 cases of a patient aged 30, hospital No. 1460. Gestation 3 production 1 to stop after 35 days, abdominal pain with vaginal small bloodless chief complaint on March 18, 2009 admission. Usually menstrual regularity, the last menstrual period February 13, 2009, 3 days before being persistent lower abdominal pain, nausea without vomiting, anal bulge, a small amount of vaginal bleeding. past no special medical history, condoms, contraception, spouse physical health. examination: T: 36.8 , P88 times / min , R21 times / min, BP12/8Kpa, no appearance of anemia, abdominal soft, mild lower abdominal tenderness to the right significantly, rebound (-), shifting dullness (-). gynecological examination: mild cervical erosion, the latter dome flat, cervical pain shake give (+), normal size uterus, anterior and right light tenderness annex area and less apparent mass. B-Tip: normal uterine size, endometrial line center, no abnormal intrauterine Echo, on the right shows the annex area 1.7cm 1.3cm anechoic areas, border clearance, see Dow cavity echo-free area 2.8cm 1.3cm. B ultrasound diagnosis: the right attachment zone cystic masses (an ectopic pregnancy?) Tao s effusion. vaginal vault puncture 5ml blood was drawn, blood -HCG1130miu/mL, blood: WBC 9.8 10 9/mL,, RBC 3.28 10 12 / L, Hb 95g / L, platelets 258 10 9 / L. Initial clinical diagnosis: intra-abdominal hemorrhage of unknown origin: of ectopic pregnancy? corpus luteum rupture and abortion? admission observing closely, although the intra-abdominal bleeding in patients considered, but less bleeding, bleeding symptoms as obvious, and the menopause time is short, temporary treatment given to conservative and dynamic observation of B-and -HCG, 3 days later (March 21, 2009) again reviewed B-Tip, intrauterine no visible 0.8cm 0.7cm echo area, the right accessories 2.2cm 1.7cm anec