出血性ショックを伴う卵管間質部妊娠破裂に対し, 術中回収式自己血輸血を併用した腹腔鏡下卵管角切除術が成功した1例

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We report a case of ruptured interstitial pregnancy associated with hypovolemic shock, treated by laparoscopic cornual resection utilizing intraoperative autologous blood transfusion. A 37-year-old gravid 4, para 2 housewife was referred to our hospital because of shock status. Since the urinary pregnancy test was positive and massive hemoperitoneum was indicated by ultrasonography, ruptured ectopic pregnancy was strongly suspected and emergency laparoscopic surgery was performed. After removal of blood from the abdominal cavity, which was subsequently used for autologous blood transfusion, ruptured interstitial pregnancy was diagnosed and laparoscopic cornual resection was done. The postoperative course was uneventful. The present results indicate that, if the general condition of the patient could be well maintained by an anesthesiologist, laparoscopic cornual resection with intraoperative autologous blood transfusion is suitable for treatment of ruptured interstitial pregnancy associated with massive hemoperitoneum.
社団法人日本産科婦人科学会の論文
2001-08-01