待機療法にてhCG陰性化後も血腫が遺残し、腹腔鏡下手術を行った陳旧性卵管妊娠の一例

概要

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Objective: Report a relatively rare case of persistent hCG-negative tubal pregnancy.Case report: The patient, a 21-year-old female, underwent successful expectant therapy for ectopic pregnancy. Serum hCG was soon undetectable, BBT measurement became biphasic, and menstruation resumed after 3 months. Meanwhile, a 6.0 x 3.5 cm growth, resembling endometrioma, was identified in the pelvis. With laparoscopy, the mass was confirmed as the persistent tubal hematoma of an ectopic pregnancy. The products of conception were extracted, and ostomy of the salpinx was done.Conclusion: In the event of an hCG-negative endometrioma-like pelvic mass, especially with known prior pregnancy, the residual hematoma of ectopic implantation must be considered.
日本産科婦人科内視鏡学会の論文
2010-12-01