Introduction to complications of intrauterine pregnancy and ectopic pregnancy

In today's society, due to the popularization of medical knowledge, most female friends probably have some understanding of what is intrauterine pregnancy and what is ectopic pregnancy. We all know that a successful pregnancy is normally an intrauterine pregnancy, while an ectopic pregnancy is abnormal and requires medical treatment. But in fact, ectopic pregnancy is not as simple as we imagined. There are many types of ectopic pregnancy. One of them is called intrauterine pregnancy combined with ectopic pregnancy. You may not know much about it. Some people even have this kind of ectopic pregnancy but don’t know it. So, today I will give you a relevant introduction.

Since people's understanding of ectopic pregnancy is not in-depth enough, many people have raised the causes of ectopic pregnancy. So in response to everyone's questions, we interviewed a patient with this disease.

A patient friend described his symptoms as follows:

My menstruation has not stopped for 38 days, and I have early pregnancy symptoms such as nausea and vomiting. I checked my urine for hcg and it showed positive, but I already have twins and don’t want to have any more, so I have to give them up with reluctance.

So I took Xiyin for medical abortion on August 1, 2012, and took Misoprodol on the morning of the 4th day (August 4, 2012). At around 7 o'clock that evening, there was a lot of traffic, so I had a curettage, which scraped out embryonic tissue of about 70 days in size, with head, hands, feet and placenta visible.

On August 5, 2012, the bleeding was still heavy, and considering incomplete curettage, a second uterine curettage was performed. A small amount of decidual tissue was scraped out, and the vaginal bleeding decreased, but it was still heavy.

On August 12, 2012, I suddenly felt dizzy and nauseous, and vomited a small amount of stomach contents. I also had severe pain in my lower abdomen, so I went to the hospital. Physical examination: pale complexion, painful expression, obvious tenderness in the lower abdomen, and shifting dullness;

Gynecological examination: obvious cervical lifting pain, soft uterus, unclear contour, obvious tenderness, fullness of the right adnexal area, hemorrhagic fluid in the posterior fornix puncture, and non-coagulated blood in the abdominal cavity; B-ultrasound showed a liquid dark area and a large amount of effusion in the left adnexal area, considering ectopic pregnancy. An emergency laparotomy was performed, during which about 1200 ml of intra-abdominal blood was removed. The left fallopian tube fimbria was found to be swollen and actively bleeding. After resection, strict hemostasis was performed. Pathological examination showed that the villous tissue had invaded the muscular layer.

Twin pregnancies are not uncommon, but it is rare for one pregnancy to be intrauterine and the other to be ectopic (fallopian tube pregnancy). Two mature fertilized eggs are fertilized at the same time, one fertilized egg implants and develops in the uterine cavity, while the other stays in the fallopian tube to implant and develop, resulting in an ectopic pregnancy.

After reading the above cases, everyone must have some understanding of what intrauterine pregnancy combined with ectopic pregnancy is. Although ectopic pregnancy is a very common disease, the combination of intrauterine pregnancy and ectopic pregnancy that I will introduce to you today is indeed rare. But female friends don’t have to worry too much. Even if you suffer from this disease, as long as you face it positively and receive correct and systematic treatment, you will be able to overcome the disease.