阴道脱垂在放置子宫托和即时阴道闭合法治疗中的表现。
Vaginal evisceration during pessary fitting and treatment with immediate colpocleisis.
机构信息
From the Department of Obstetrics and Gynecology, Tufts University School of Medicine, Baystate Medical Center, Springfield, Massachusetts.
出版信息
Obstet Gynecol. 2010 Aug;116 Suppl 2:496-498. doi: 10.1097/AOG.0b013e3181da371d.
BACKGROUND
Complications from pessaries are rare and occur predominantly as a result of neglect and loss to follow-up. We report a case of vaginal evisceration at the time of pessary insertion, which was repaired with concomitant colpocleisis.
CASE
An 82-year-old woman with stage IV pelvic organ prolapse (POP) presented for a routine pessary fitting, which resulted in vaginal evisceration and displacement of the pessary into the abdomen. She was treated successfully with immediate colpocleisis after transvaginal removal of the pessary and repair of the rupture site.
CONCLUSION
Pessary insertion can result in vaginal evisceration. Both POP and vaginal rupture can be successfully treated with removal of the pessary, closure of the vaginal defect, and LeFort colpocleisis all in one session.
背景
子宫托引起的并发症较为罕见，主要是由于忽视和随访丢失所致。我们报告了一例在子宫托插入时发生的阴道脱出病例，该病例通过同时进行阴道闭合并修补术得到修复。
病例
一位 82 岁的 IV 期盆腔器官脱垂（POP）女性患者前来进行常规子宫托适配，结果导致阴道脱出，子宫托移位至腹部。在经阴道取出子宫托并修复破裂部位后，立即进行阴道闭合并修补术，成功治疗了该患者。
结论
子宫托插入可导致阴道脱出。脱垂和阴道破裂都可以通过取出子宫托、闭合阴道缺损和一次性进行 LeFort 阴道闭合并修补术来成功治疗。
Zotero 插件