Kivnick S, Kanter M H
Department of Obstetrics-Gynecology, Kaiser Foundation Hospital, West Los Angeles, California.
Obstet Gynecol. 1992 May;79(5 ( Pt 2)):833-5.
A woman underwent apparently uneventful rollerball endometrial ablation but presented with an acute abdomen 2 days later. At laparotomy, a large uterine serosal burn was found and a nearby loop of ileum contained two small injuries: a serosal burn and a perforation. The ileal injuries were oversewn and the patient recovered. Pathologic examination of the uterus showed full-thickness coagulative myometrial necrosis but no uterine perforation. More experience is needed to establish the incidence of this complication.
一名女性接受了看似顺利的滚球子宫内膜切除术,但两天后出现急腹症。剖腹探查时,发现子宫浆膜大面积烧伤,附近一段回肠有两处小损伤:一处浆膜烧伤和一处穿孔。对回肠损伤进行了缝合,患者康复。子宫病理检查显示肌层全层凝固性坏死,但无子宫穿孔。需要更多经验来确定这种并发症的发生率。