结肠粪性穿孔且妊娠结局良好。
Stercoral perforation of the colon with favorable pregnancy outcome.
作者信息
Sung Joyce F, Salvay Howard B, Hansman Matthew F, Taslimi M Mark
机构信息
From the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University, Stanford, California; and Departments of Obstetrics and Gynecology and Surgery, Palo Alto Medical Foundation Group, Santa Cruz, California.
出版信息
Obstet Gynecol. 2009 Feb;113(2 Pt 2):491-492. doi: 10.1097/AOG.0b013e3181834b24.
BACKGROUND
Stercoral perforation of the colon is a rarely reported disease with high mortality rate. Our literature review identified one prior case reported during pregnancy, with mortality in both mother and infant.
CASE
A nulliparous female presented at 36 weeks of gestation with fever, tachycardia, and severe abdominal pain. She delivered by cesarean when purulent ascites and stercoral perforation of the sigmoid colon were discovered. After a sigmoid resection with end colostomy, she and her infant recovered uneventfully.
CONCLUSION
Stercoral perforation of the colon is rare in pregnancy. Prompt surgical treatment is necessary. Surgical exploration may be warranted in the pregnant patient with unexplained abdominal pain.
背景
结肠粪性穿孔是一种报道较少但死亡率很高的疾病。我们对文献的回顾发现，此前有1例在孕期报道的病例，母婴均死亡。
病例
一名初产妇在妊娠36周时出现发热、心动过速和严重腹痛。当发现脓性腹水和乙状结肠粪性穿孔时，她接受了剖宫产。在进行乙状结肠切除并做结肠造口术后，她和婴儿均顺利康复。
结论
结肠粪性穿孔在孕期罕见。及时的手术治疗很有必要。对于有不明原因腹痛的孕妇，可能需要进行手术探查。
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