妊娠期子宫血管自发性破裂
Spontaneous rupture of the uterine vessels in pregnancy.
作者信息
Aziz Uzma, Kulkarni Aparna, Lazic Darko, Cullimore John E
机构信息
Department of Obstetrics and Gynecology, Great Western Hospital, Swindon, United Kingdom.
出版信息
Obstet Gynecol. 2004 May;103(5 Pt 2):1089-91. doi: 10.1097/01.AOG.0000121833.79081.c7.
BACKGROUND
Hemoperitoneum resulting from spontaneous rupture of the uterine vessels in pregnancy is rare and associated with high maternal and fetal mortality.
CASE
A woman presented with acute abdominal pain and hypovolemic shock at 20 weeks of gestation. Immediate laparotomy revealed massive hemoperitoneum resulting from spontaneous rupture of the left uterine vessels associated with a left adnexal mass consisting of decidualized endometriosis. The fetus was delivered by hysterotomy, hemostasis was achieved, and the woman made a good recovery.
CONCLUSION
We report a case of hemoperitoneum in pregnancy that resulted from spontaneous rupture of the uterine vessels associated with decidualized endometriosis.
背景
妊娠期间子宫血管自发性破裂导致的腹腔积血较为罕见，且与母婴高死亡率相关。
病例
一名女性在妊娠20周时出现急性腹痛和低血容量性休克。立即剖腹探查发现，左子宫血管自发性破裂导致大量腹腔积血，同时伴有一个由蜕膜化子宫内膜异位症构成的左侧附件包块。通过子宫切开术娩出胎儿，实现止血，该女性恢复良好。
结论
我们报告了一例妊娠期间腹腔积血的病例，其由与蜕膜化子宫内膜异位症相关的子宫血管自发性破裂引起。
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