Rupture of rudimentary uterine horn pregnancy bleeding in 1 case.docVIP

 PAGE \* MERGEFORMAT 4 Rupture of rudimentary uterine horn pregnancy bleeding in 1 case [Keywords:] rupture of rudimentary uterine horn pregnancy bleeding Rudimentary horn pregnancy is less common, now admitted to one case reported below. 1 Clinical data Patients 26 years old, G1P0. For menopause 21 weeks, syncope, abdominal pain 1 hour, in at 1:00 on June 15, 2005 emergency hospital. Patients usually menstrual regularity, no dysmenorrhea history. The last menstrual period January 14, 2005, stop by the 45 days, the primary hospital of urine HCG test positive, without making B-. tentative diagnosis of early pregnancy. stop by 40 days, with nausea, vomiting, morning sickness, pregnancy occasional abdominal pain, without making prenatal care. 2 days before admission, a sense of Hidden abdominal pain .1 hours ago tearing pain and syncope 2. Physical examination: BP 60/40mmHg, HR128 / min, pale limbs Jueleng, indifferent expression, verbal exchanges is still relevant and no abnormal heart and lung, abdomen bulging, muscle tension, the whole abdominal tenderness, rebound tenderness, shifting dullness were positive. Gynecological examination: free vaginal blood, after full dome, tenderness, cervical tenderness was held, the size of the uterus, such as pregnant 10 weeks, all positive for abdominal tenderness, more than palpation unclear. B super-exploration: a large number of intra-abdominal fluid, uterine growth large, intra-abdominal see a fetus, biparietal diameter 45mm, no fetal heart beat, blood was drawn abdominal puncture 4mL. suspected ruptured abdominal pregnancy, hemorrhagic shock. immediate rescue shock at the same time, laparotomy, intraoperative See abdominal bleeding about 4 000mL, including amniotic fluid, fetal and placental blood floating in the abdomen, the size consistent with menopause months. uterine pregnancy of 10 weeks, such as size, surface smooth and complete, the right uterine horn with normal attachment connected to the left s