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子宮角姙娠破裂의 1例

Ruptured Cornual Pregnancy

대한산부인과학회지 1971년 14권 2호 p.23 ~ 26
全惠子/Chun, Hae Ja
金慈惠/鄭娟汀/李圭玄/Kim, Ja Hea/Chung, Yun Chung/Lee, Kiw Hyun

Abstract


In the 8 year period from Jan. 1963 to May 1970, a single case of ruptured cornual pregnancy was experienced in a total of 13,949 deliveries at Ewha Womans University Hospital, Seoul.
The patient, gravida 3, para 2, 41 year of age, 20 wks pregnant woman was admitted into emergency room in may 24, 1970 . with shock state. followed by continuous lower abdominal pain with occasional vomiting for passed 3 days.
The patient believed by herself that she has been pregnant for 5 months with last menstrual period started from Dec. 23, 1969, with 3 days duration.
On the admission blood pressure was 60130 mmHg, pulse 320/min, and the abdomen showed relatively flat and no appreciable tender or rigidity at that moment which is to be believed a usual clinical characteristics of cornual pregnancy after it´s rupture has been occured. We are suspected that was a definit acute abdomen either a ruptured malignant destructive mole or ruptured tuba] pregnancy, and was operated immediatly.
The operative finding showed that the right cornus of the uterus was completely ruptured and both the dead fetus with 20 wks gestation and completely separated placenta were escaped from the cornual into the abdominal cavity freely. Following total abdominal hysterectomy with bilateral salpingo-oophorectomy and 4 pints of blood transfusion given the patient was recovered well in 7 days hospitalization.

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