Bernard Leah S
Oregon Health and Sciences University, Portland, Oregon, USA.
Obstet Gynecol. 2007 Jun;109(6):1445-6, 1461. doi: 10.1097/01.AOG.0000267316.52354.c1.
Postoperative ileus and urinary retention are relatively common complications after obstetric and gynecologic procedures. This case highlights an unusual cause of these common postoperative patient reports.
A 71-year-old woman underwent an uncomplicated total vaginal hysterectomy and pelvic reconstruction for stage III pelvic organ prolapse. She subsequently presented with and was hospitalized for labile blood pressures, ileus, urinary retention, and subjective sensory and motor complaints. The cause of the patient's reports was not clear until her disease became relatively severe.
When a postoperative patient has multiple symptoms that do not respond to standard intervention, rare causes outside of one's specialty should be considered.
术后肠梗阻和尿潴留是妇产科手术后相对常见的并发症。本病例突出了这些常见术后患者报告的一个不寻常原因。
一名71岁女性因Ⅲ期盆腔器官脱垂接受了无并发症的全阴道子宫切除术和盆腔重建术。她随后出现血压不稳定、肠梗阻、尿潴留以及主观感觉和运动方面的不适，并因此住院。在患者病情变得相对严重之前，其报告症状的原因并不明确。
当术后患者出现多种对标准干预无反应的症状时，应考虑本专业以外的罕见病因。
