From the Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Obstet Gynecol. 2010 Feb;115(2 Pt 2):414-417. doi: 10.1097/AOG.0b013e3181bd8a61.
Women with genital anomalies are at increased risk of labor dysfunction. Rupture of the posterior cul-de-sac causing an intraabdominal delivery is a rare complication of labor that may be related to a congenitally atretic vagina.
A nulliparous woman at 28 weeks of gestation with a known short vagina presented with preterm labor; her cervix could not be palpated or visualized. At cesarean delivery, the cervix was intraabdominal and the fetal head was delivered in the abdomen. A large rent in the posterior cul-de-sac required repair to restore correct anatomical positioning. The uterus was intact.
Rupture of the posterior cul-de-sac is a rare event that can cause significant maternal and fetal morbidity.
女性生殖器官异常会增加分娩功能障碍的风险。后穹窿破裂导致腹腔内分娩是一种罕见的分娩并发症，可能与先天性阴道闭锁有关。
一位 28 周妊娠的初产妇，已知阴道短，出现早产；无法触诊或观察到宫颈。行剖宫产时，宫颈位于腹腔内，胎头在腹部娩出。后穹窿有一个大的裂口，需要修复以恢复正确的解剖位置。子宫完整。
后穹窿破裂是一种罕见的事件，可导致严重的母婴发病率。
