一、病例摘要患者26岁,因"停经50+天,不规则阴道流血20天"于2017年7月9日至我院急诊就诊。平素月经规律,无痛经,末次月经2017年5月17日,孕1产0。患者于2017年6月19日出现不规则阴道流血,量少、色暗,最初未予重视未诊治,后出血淋漓不尽。查体:体温37.2℃,脉搏80次/分,呼吸20次/分,血压125/75 mm Hg(1 mm Hg=0.133 kPa),心肺听诊无异常。
子宫残角妊娠（pregnancy in rudimentary horn）是指受精卵着床和发育于残角子宫的一种异位妊娠,是一种极其罕见的异位妊娠,术前确诊率仅5%[1],临床医师对其诊断及治疗的经验相对缺乏,易导致误诊及漏诊。稽留流产（missed abortion）又称过期流产,是流产的一种特殊类型,指胚胎或胎儿已死亡滞留在宫腔内达2个月未能自然排出者,如滞留时间过久,
We report a case of pregnancy in a rudimentary horn that ruptured at 18 weeks. An emergency laparotomy was taken for acute abdomen and ruptured right rudimentary horn pregnancy was diagnosed. Excision of the rudimentary horn and ipsilateral salpingectomy were carried out. The patient’ s postoperative course was uneventful, and she left the hospital 6 days later.
