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单纯的卵巢黄体破裂容易诊断,但如果合并B超尚未能发现的早期宫内孕,往往很容易误诊为异位妊娠。现将1例卵巢黄体破裂合并宫内孕误诊为卵巢妊娠的病例分析如下。1病历摘要女,20岁。因停经35 d,下腹痛3 d,阴道流血1 d入院。患者平素月经规律,3 d前因下腹痛来院就诊,查尿HCG阳性,B超提示:子宫大小形态未见明显异常,内膜厚8 mm,左侧附件区见混合性包块,大小约67 mm×45 mm,子宫直肠窝见液
Simple luteal rupture of the ovary is easy to diagnose, but if the early pregnancy with intrauterine pregnancy was not found in the B-ultrasound, it is often very easy to misdiagnose as ectopic pregnancy. A case of ovarian luteal rupture complicated with intrauterine pregnancy misdiagnosed as ovarian pregnancy case analysis is as follows. 1 medical records female, 20 years old. Due to menopause 35 d, abdominal pain 3 d, vaginal bleeding 1 d admission. Patients usually menstrual regularity, 3 d due to lower abdominal pain to hospital, check urinary HCG positive, B-ultrasound Tip: no significant abnormalities in uterine size and shape, endometrial thickness 8 mm, the left attachment area to see the mixed mass, about 67 mm × 45 mm, uterine rectal see fluid