Aguilar-Hernández Oscar Felipe, Renan-Rivero y Coronado Carlos, Sánchez-García José Fausto, Bolio-Bolio Miguel Angel
Servicio de Ginecología y Obstetricia, Hospital General Dr. Agustín O'Horan, Mérida, Yucatán.
Ginecol Obstet Mex. 2010 Apr;78(4):250-3.
The uterine rupture during pregnancy is one of the most serious complications, increase morbidity and maternal and fetal mortality. The uterine rupture by percrete placenta is rare. We present the case of a 39 years-old patient, pregnancy of 16.3 weeks by ultrasound, which enters by abdominal pain 48 hours of evolution, of predominance in the hypogastric region, that during its evolution presented hemodynamic compromise and increase of abdominal pain. By ultrasound: free liquid in abdominal cavity is observed. With laparothomy we found perforated uterus with placenta free and product in abdominal cavity, obstetrical hysterectomy was performed, we confirmed the diagnosis of uterine rupture by percrete placenta.
妊娠期子宫破裂是最严重的并发症之一，会增加孕产妇发病率及母婴死亡率。穿透性胎盘导致的子宫破裂较为罕见。我们报告一例39岁患者，超声检查显示妊娠16.3周，因腹痛48小时入院，腹痛以下腹部为主，病程中出现血流动力学不稳定及腹痛加剧。超声检查发现腹腔内有游离液体。剖腹探查时发现子宫穿孔，胎盘游离，腹腔内有产物，遂行产科子宫切除术，确诊为穿透性胎盘导致的子宫破裂。
