후복막 자궁외임신 1예
A CASE OF RETROPERITONEAL ECTOPIC PREGNANCY
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초록
자궁외임신은 수정된 난자가 자궁내막 이외의 장소에 착상하는 것으로 대부분은 난관성 자궁외임신이고 단 1.4%만이 복강임신(abdominal pregnancy)이며, 그 중 후복막 자궁외임신(retroperitoneal ectopic pregnancy)은 전세계적으로 15개의 증례가 보고되어 있다. 저자들은 자연 임신으로 생긴 후복막 자궁외임신 1예를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다.
Abstract
Ectopic pregnancy is an implantation of the fertilized ovum on a place except the endometrium. Most of the ectopic pregnancies are located at the fallopian tube. Only the 1.4% of ectopic pregnancies are abdominal pregnancies, of which only 15 cases of retroperitoneal pregnancies are reported all over the world. In this case, a 21-year-old woman presented with back pain and amenorrhrea for 5+2 weeks with no past history. During the laparoscopic operation, there was retroperitoneal hematoma which was located between right paracolic gutter and presacral area and there was no adnexal mass or free pelvic fl uid to be found. We stopped the operation and performed computed tomography angiography, in which small peripheral enhanced cystic lesion in pericaval space and large amount of hematoma in perirenal space were revealed. We performed explo-lapratomy, and eliminated the gestational sac which was located between the inferior vena cava and ureter. We report very rare case of retroperitoneal ectopic pregnancy with brief review of literature.
참고문헌 (19)
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