우측 난관절제술후 발생한 파열된 동측 자궁각 임신 1예
A case of ruptured ipsilateral cornual pregnancy after right salpingectomy
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초록
자궁각 임신 혹은 간질부 임신은 매우 희기하고 또한 진단 또한 어렵다. 발생률은 모든 난관 임신의 약 2-4%되고 있다. 자궁각 임신은 2개월 후반과 4개월 후반 사이에 대부분 파열되어 심각한 모성 사망률을 초래한다. 저자들은 1년 전 우측 난관 임신으로 복강경하 우측 난관 절제술을 시행한 환자에서 동측에서 발생한 파열된 자궁각 임신을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Corunal or interstitial pregnancy is very rare and its diagnosis is difficult. It accounts for no more than 2% to 4% of all tubal pregnancy. As ruptured is likely to occur between the end of the second and the end of the fourth month, it causes serious maternal mortality and morbidity. If the contralateral tube is patent, history of ipsilateral salpingectomy may be risk factor for interstitial pregnancy. A 37-year-old woman had laparoscopic right salpingectomy due to tubal pregnancy. One year later she experienced a second ruptured interstitial pregnancy on the same side
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