Marcus P, Raff G, Rothenberg J
Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, USA.
J Reprod Med. 2001 Aug;46(8):763-4.
A gynecology service is often asked to consult and evaluate in-house patients with vaginal bleeding.
A 31-year-old, Asian woman with a history of end-stage renal disease and hemodialysis was admitted to the hospital with a falling hematocrit. She subsequently began to have heavy vaginal bleeding. Computed tomography suggested a peritoneal-cervical fistula. Subsequent exploratory laparotomy documented that the bleeding was caused by retrograde flow of a hemoperitoneum.
This appears to be the first reported case of retrograde flow from a hemoperitoneum causing vaginal bleeding. Although unusual, this case expands the differential diagnosis when evaluating vaginal bleeding.
妇科科室经常被要求对院内阴道出血的患者进行会诊和评估。
一名31岁的亚洲女性，有终末期肾病和血液透析病史，因血细胞比容下降入院。随后她开始出现大量阴道出血。计算机断层扫描显示存在腹膜-宫颈瘘。随后的剖腹探查证实出血是由腹腔积血逆流所致。
这似乎是首例关于腹腔积血逆流导致阴道出血的报道病例。尽管这种情况不常见，但该病例扩展了评估阴道出血时的鉴别诊断范围。
