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32周未瘢痕子宫临产前羊膜囊完整脱出的隐性破裂:1例报告

Pre-labor silent rupture of unscarred uterus at 32 weeks with intact amniotic sac extrusion: a case report.

作者信息

Rana Ritu, Puri Manju

机构信息

Department of Obstetrics & Gynecology, Princess Alexandra Hospital, Harlow, Essex, CM20 1QX, UK.

出版信息

Cases J. 2009 Jul 16;2:7095. doi: 10.4076/1757-1626-2-7095.

Abstract

INTRODUCTION

Spontaneous rupture of uterus in unscarred uterus prior to onset of labor in third trimester is extremely rare and to our knowledge, very few cases have been reported so far.

CASE PRESENTATION

A 26-year-old third gravida women with 32 weeks pregnancy presented with pre-labor rupture uterus with extrusion of intact amniotic sac from the rent in uterine fundus.

CONCLUSION

Rupture uterus can present in third trimester even before labor and should be kept in differential diagnosis of pregnancy with abdominal pain of any degree with fetal demise.

摘要

引言

妊娠晚期未临产时无瘢痕子宫自发性破裂极为罕见,据我们所知,迄今为止报道的此类病例非常少。

病例报告

一名26岁的经产妇,妊娠32周,出现临产前子宫破裂,完整的羊膜囊从子宫底部的裂口处挤出。

结论

子宫破裂可在妊娠晚期甚至临产前出现,对于任何程度腹痛伴胎儿死亡的妊娠情况,都应将其列入鉴别诊断范围。

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1
Unexplained prelabor uterine rupture in a term primigravida.一例足月初产妇的不明原因临产前子宫破裂。
Obstet Gynecol. 2006 Sep;108(3 Pt 2):725-7. doi: 10.1097/01.AOG.0000195065.38149.11.
2
Uterine rupture.子宫破裂
Best Pract Res Clin Obstet Gynaecol. 2002 Feb;16(1):69-79. doi: 10.1053/beog.2001.0256.
7
Intrapartum rupture of the unscarred uterus.未瘢痕化子宫的产时破裂
Obstet Gynecol. 1997 May;89(5 Pt 1):671-3. doi: 10.1016/s0029-7844(97)00073-2.
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Rupture of the pregnant uterus: a review.妊娠子宫破裂:综述
Obstet Gynecol Surv. 1978 Apr;33(4):217-32. doi: 10.1097/00006254-197804000-00001.

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