Nopdonrattakoon Lek
Department of Obstetrics and Gynecology, Mae Sot General Hospital, Tak, Thailand.
J Med Assoc Thai. 2010 Feb;93(2):245-7.
In 2009, a 41-year-old Thai woman who had undergone abdominal hysterectomy 4 months earlier was admitted because of bleeding per vagina without pain during coitus for 1 day. She had undergone pelvic examination that disclosed small intestine in vagina and scanty bleeding of vaginal vault. Closure of the rupture of the vaginal vault during laparotomy was completed, resulting in satisfactory condition. Vaginal vault rupture is a rare condition. Prompt surgical and medical intervention are required to prevent complications. Incidence, risk factors, and management for rupture of the vaginal vault that occurs after total abdominal hysterectomy are discussed.
2009年，一名41岁的泰国女性因4个月前接受了腹部子宫切除术，因性交时阴道无痛出血1天而入院。她接受了盆腔检查，发现阴道内有小肠，阴道穹窿少量出血。剖腹手术时完成了阴道穹窿破裂的缝合，术后情况良好。阴道穹窿破裂是一种罕见的病症。需要及时进行手术和药物干预以预防并发症。本文讨论了全腹子宫切除术后阴道穹窿破裂的发生率、危险因素及处理方法。
