既往宫腔镜子宫成形术后28周发生自发性子宫破裂并羊膜囊突出。
Spontaneous uterine rupture with amniotic sac protrusion at 28 weeks subsequent to previous hysteroscopic metroplasty.
作者信息
Conturso R, Redaelli L, Pasini A, Tenore A
机构信息
Obstetrical Department, Valduce Hospital, Como, Italy.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2003 Mar 26;107(1):98-100. doi: 10.1016/s0301-2115(02)00242-7.
BACKGROUND
Hysteroscopic metroplasty improves pregnancy outcome in case of uterine septum. Uterine rupture during a pregnancy following this procedure may occur.
CASE
A patient with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation, presented at 28 weeks a spontaneous uterine rupture with amniotic sac protrusion through the uterine wall disruption.
CONCLUSION
Uterine rupture during pregnancy following a hysteroscopic metroplasty may occur even though it appears to be a very uncommon event. Patients who have had this procedure should be aware of this potential risk in case of future pregnancies. How to avoid such complication is still unclear.
背景
宫腔镜子宫成形术可改善子宫纵隔患者的妊娠结局。该手术后妊娠期间可能发生子宫破裂。
病例
一名有宫腔镜切除子宫纵隔病史并伴有子宫底穿孔的患者，在孕28周时出现自发性子宫破裂，羊膜囊通过子宫壁破裂处突出。
结论
宫腔镜子宫成形术后妊娠期间可能发生子宫破裂，尽管这似乎是一种非常罕见的情况。接受过该手术的患者在未来妊娠时应意识到这种潜在风险。如何避免此类并发症仍不清楚。
Zotero 插件