Blihovde Leslie, Tawfik Justin, Hill D Ashley
Department of Obstetrics and Gynecology, Florida Hospital Graduate Medical Education Program, Florida Hospital, Orlando, Florida 32804, USA.
J Reprod Med. 2010 Sep-Oct;55(9-10):437-40.
Rupture of an unscarred uterus is a rare and potentially catastrophic event. Common presenting signs and symptoms include abdominal pain, fetal heart rate abnormalities, and evidence of hypovolemia.
A woman with a history of 2 prior uncomplicated first-trimester pregnancy terminations presented several years later at 32 weeks' gestation with abdominal pain and no other evidence of uterine rupture. Her clinicians suspected appendicitis, and computed tomography revealed a circular fundal uterine rupture occluded by extrusion of the fetal legs through the defect. Emergent cesarean delivery resulted in a good outcome for mother and baby.
Clinicians should consider uterine rupture as a possible diagnosis when patients present with abdominal pain, even without common risk factors linical evidence of a ruptured uterus.
未瘢痕化子宫破裂是一种罕见且可能具有灾难性的事件。常见的临床表现和症状包括腹痛、胎儿心率异常以及低血容量的证据。
一名有2次早期妊娠未合并并发症终止妊娠史的女性，数年后在妊娠32周时出现腹痛，无其他子宫破裂的证据。她的临床医生怀疑是阑尾炎，计算机断层扫描显示子宫底部圆形破裂，胎儿腿部通过缺损处挤出将其堵塞。紧急剖宫产使母婴结局良好。
当患者出现腹痛时，即使没有子宫破裂的常见危险因素和临床证据，临床医生也应考虑子宫破裂这一可能的诊断。
