Nkwabong E, Kouam L, Takang W
Obstetrician & Gynecologist, Obstetrics and Gynecology Service; University Teaching Hospital Yaounde, Cameroon, P.O.Box 11063 Yaounde.
Afr J Reprod Health. 2007 Aug;11(2):107-12.
Rupture of a gravid uterus is a surgical emergency. Predisposing factors include a scarred uterus. Spontaneous rupture of an unscarred uterus during pregnancy is a rare occurrence. We hereby present the case of a spontaneous complete uterine rupture at a gestational age of 34 weeks in a 35 year old patient. The case was managed at the University Teaching Hospital of Yaounde (Cameroon). She had past history of two uterine curettages. She presented with abdominal pain of sudden onset. After ultrasound scan, uterine rupture was diagnosed and an emergency laparotomy done. The entire amniotic sac was found in the peritoneal cavity with a rupture of the uterine fundus. Spontaneous uterine rupture occurs when there is an upper segment uterine scar. This case report shows that past history of curettage is a risk factor for the presence of uterine scar.
妊娠子宫破裂是一种外科急症。诱发因素包括子宫瘢痕。孕期未瘢痕化子宫发生自发性破裂极为罕见。在此，我们报告一例35岁患者在孕34周时发生自发性完全子宫破裂的病例。该病例在雅温得大学教学医院（喀麦隆）接受治疗。她既往有两次刮宫史。她突然出现腹痛。经超声检查后，诊断为子宫破裂并进行了急诊剖腹手术。发现整个羊膜囊位于腹腔内，子宫底部破裂。当子宫上段存在瘢痕时会发生自发性子宫破裂。本病例报告表明，刮宫史是子宫瘢痕形成的一个危险因素。
