Rupture of rudimentary uterine horn of pregnancy on the normal pregnancy after report of 1 case.docVIP

 PAGE \* MERGEFORMAT 8 Rupture of rudimentary uterine horn of pregnancy on the normal pregnancy after report of 1 case [Keywords:] rudimentary horn; ectopic pregnancy 1 Case information Patients, female, 20 years old, unmarried. Sexual life history. Main cause of menopause, 54 days 20 + days of abnormal vaginal bleeding, lower abdominal pain 2 days on October 12, 2009 hospital treatment. Usually less menstrual regularity, LMP 2009 年August 19, had by the end of September 2009 because of irregular vaginal bleeding, lower abdominal pain burst a local hospital, check the urine HCG (-), given anti-inflammatory, hemostatic treatment, symptoms. exacerbated by abdominal pain, vaginal bleeding increased 2 days, 12 October 2009 in the city center maternity hospital visits, blood β-HCG 27485mIU/ml, gynecological ultrasound Tip: uterine 41mm × 31mm × 29mm, endometrial 0.4cm, double ovary can be seen within the right fallopian tube side shows 54mm × 46mm × 42mm, the internal distribution of liquid dark area rules, bilateral iliac fossa, no liquid rectal fossa area, considered “ectopic pregnancy”, not the line PV examination, examination: P 79 times / min, BP 105/70mmHg , the proposed general hospital consultation, referral hospital considered “ectopic pregnancy” on October 12, 2009 9pm emergency admission. Admission vital signs monitoring to give intravenous fluid replacement and improve the preoperative preparation, on October 13, 2009 2pm-line laparoscopic surgery, pelvic surgery see no adhesion, increased uterine and irregular, the left half of the uterus without exception, the right uterine horn and the sudden enlargement of the right broad ligament, swelling part of the diameter of 7 ~ 8cm, low tension, capsule sexy, there is the right cornual serosa scattered areas in the small purple-brown, the base of the right broad ligament vessels thick, rich , bilateral fallopian tubes and ovaries without exception, the left ovary shows luteum, via vaginal ultrasound