Abstract：
BACKGROUND:Heterotopic pregnancy occurred after frozen embryo transfer with two D3 embryos, and the case had a history of bilateral salpingectomy due to salpingocyesis. An ectopic heterotopic pregnancy was implanted in the left psoas major muscle, which has not been previously reported. CASE PRESENTATION:A 33-year-old woman presented with left back pain after curettage due to foetal arrest in the uterus without vaginal bleeding and spotting, and painkillers relieved the pain initially. When the painkillers ceased to work, the patient returned to the hospital. The β-human chorionic gonadotropin (β-hCG) level remained increased compared with the time of curettage, and a diagnosis of retroperitoneal abdominal pregnancy was suggested by ultrasonography and computerized tomography (CT) with the gestational sac implanted in the left psoas major muscle at the left hilum level. Laparotomy was performed to remove the ectopic pregnancy. During the operation, we carefully separated the adipose tissue between the space of the left kidney door and left psoas major muscle, peeled away the gestational sac that was approximately 50 mm × 40 mm with a 25-mm-long foetal bud, and gave a local injection of 10 mg of methotrexate in the psoas major muscle. Fifty days later, β-hCG decreased to normal levels. CONCLUSION:It is necessary to pay more attention to the main complaints to exclude rare types of ectopic pregnancies of the pelvis and abdomen after embryo transfer.
journal_name
BMC Pregnancy Childbirthjournal_title
BMC pregnancy and childbirthauthors
Wang X,Ma D,Zhang Y,Chen Y,Zhang Y,Liu Z,Bi X,Wu X,Fan Jdoi
10.1186/s12884-020-03214-1subject
Has Abstractpub_date
2020-09-17 00:00:00pages
542issue
1issn
1471-2393pii
10.1186/s12884-020-03214-1journal_volume
20pub_type
杂志文章abstract：BACKGROUND:Gestational diabetes mellitus (GDM) is a growing global epidemic. Our study aims to confirm the association between circulatory coiled-coil domain-containing 80 (CCDC80) in pregnant women with GDM, to investigate the discriminatory power of CCDC80 on GDM, and to explore the relationships between this molecul...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-2743-3
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
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doi：10.1186/1471-2393-8-5
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,多中心研究,随机对照试验
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,meta分析,评审
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,多中心研究,随机对照试验
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pub_type： 杂志文章
doi：10.1186/s12884-020-03123-3
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abstract：BACKGROUND:Maternal near miss (MNM) investigation is a useful tool for monitoring standards for obstetric care. This study evaluated the prevalence and the determinants of severe maternal morbidity (SMM) and MNM in a tertiary referral hospital in Teresina, Piauí, Brazil. METHODS:A transversal and prospective study was...
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