单角子宫伴异位输卵管妊娠合并异位肾1例

A case of unicornuate uterus with ectopic tubal pregnancy and ectopic kidney

目的探讨单角子宫、卵巢输卵管异位以及异位输卵管妊娠的诊断及治疗。方法分析1例就诊于山西省中医院的单角子宫无残角合并卵巢输卵管异位于髂血管区且对侧肾异位于盆腔,同时异位的输卵管妊娠的病例资料并文献复习。结果B超提示该患者生殖泌尿系畸形及异位妊娠可能,术中证实为单角子宫、左侧输卵管卵巢异位于左侧髂血管区、异位输卵管妊娠,输卵管无破口,手术切除异位输卵管,及时手术避免了异位输卵管妊娠破裂出血和髂血管区出血的风险。结论生殖泌尿系统畸形合并异位妊娠时,超声是可靠的诊断方法,应该警惕异位的卵巢输卵管妊娠的可能,及时手术是异位输卵管妊娠的关键治疗方法。

Objective To discuss the diagnosis and treatment of unicornuate uterus,ovarian tubal ectopic and ectopic tubal pregnancy.Methods A case of unicornuate uterus with no residual horns,ovarian tubal ectopic in the iliac vascular area,contralateral renal ectopic in the pelvic cavity,and ectopic tubal pregnancy who was diagonised by Shanxi Traditional Chinese Medical Hospital was analysed,and the literature was reviewed.Results B-ultrasound indicated the possibility of genitourinary tract malformation and ectopic pregnancy.During the operation,it was confirmed that the unicornuate uterus,the left fallopian tube and the ovary were located in the left iliac vascular area,and the ectopic tubal pregnancy.Timely operation avoided rupture and bleeding of the ectopic tubal pregnancy and the danger of bleeding in the iliac vascular area.Conclusion When genitourinary system malformations are complicated with ectopic pregnancy,ultrasound is a reliable diagnostic method,and attention should be paid to the possibility of ectopic ovarian tubal pregnancy.Timely surgery is the key treatment method for ectopic tubal pregnancy.