Medel Jorge Martínez, Mateo Sergio Castán, Conde César Rodrigo, Cabistany Esqué Ana Cristina, Ríos Mitchell María José
Department of Obstetrics, Miguel Servet University Hospital, Zaragoza, Spain.
J Obstet Gynaecol Res. 2010 Feb;36(1):170-3. doi: 10.1111/j.1447-0756.2009.01082.x.
We report a case of spontaneous uterine rupture caused by placenta percreta at 18 weeks' gestation after in vitro fertilization. Spontaneous uterine rupture is an extremely infrequent obstetric complication that may compromise the lives of the fetus and the mother. We describe the case of a pregnant woman at 18 weeks' gestation who presented with sudden abdominal pain and severe hemoperitoneum. We noticed a uterine rupture and carried out an urgent obstetric hysterectomy. The patient died due to hypovolemic shock and severe generalized coagulopathy. The pregnancy had been obtained via in vitro fertilization techniques. The patient did not have any risk factor or antecedent. The anatomopathological study showed a fundus uterine rupture caused by placenta percreta.
我们报告一例体外受精后妊娠18周时因胎盘植入穿透子宫肌层导致的自发性子宫破裂病例。自发性子宫破裂是一种极其罕见的产科并发症，可能危及胎儿和母亲的生命。我们描述了一名妊娠18周的孕妇，她出现突发腹痛和严重腹腔内出血。我们发现子宫破裂并紧急实施了产科子宫切除术。患者因低血容量性休克和严重的全身凝血功能障碍死亡。该妊娠是通过体外受精技术获得的。患者没有任何危险因素或既往史。解剖病理学研究显示子宫底部破裂是由胎盘植入穿透子宫肌层所致。
