Meydanli M Mutlu, Ustün Yusuf, Yalcin Omer T
Department of Obstetrics and Gynecology, Turgut Ozal Medical Center, Inonu University School of Medicine, TR-44069 Malatya, Turkey.
Gynecol Obstet Invest. 2006;61(3):133-4. doi: 10.1159/000090034. Epub 2005 Nov 29.
The concomitant phenomenon of a third trimester pregnancy with a significant degree of pelvic organ prolapse is extremely rare. We report on a patient with pelvic organ prolapse complicating third trimester pregnancy treated by concomitant cesarean hysterectomy and abdominal sacrocolpopexy. A 30-year-old woman, gravida 6, parity 5, was admitted to the hospital with uterine contractions in week 35 of gestation. Pelvic examination in the dorsal lithotomy position revealed a stage 3 pelvic organ prolapse. A cesarean hysterectomy was performed. After hysterectomy, the vaginal cuff was suspended to the periosteum overlying the sacral promontory. Cesarean hysterectomy might be a therapeutic option for women who have completed their families and are suffering from severe pelvic organ prolapse complicating third trimester pregnancy, particularly in developing countries where access to health care is limited.
孕晚期合并严重盆腔器官脱垂的现象极为罕见。我们报告了一例孕晚期合并盆腔器官脱垂的患者，通过剖宫产子宫切除术和腹式骶骨阴道固定术进行治疗。一名30岁女性，孕6产5，妊娠35周时因子宫收缩入院。截石位盆腔检查显示为3度盆腔器官脱垂。行剖宫产子宫切除术。子宫切除术后，将阴道断端悬吊至覆盖骶岬的骨膜上。剖宫产子宫切除术可能是已完成生育且患有严重盆腔器官脱垂合并孕晚期妊娠的女性的一种治疗选择，尤其是在医疗保健可及性有限的发展中国家。
