Schultz Meleesa Joy, Nanda Triveni
Department of Obstetrics and Gynaecology, Hornsby Ku-ring-gai Hospital, Palmerston Road, Hornsby, NSW 2077, Australia.
Case Rep Obstet Gynecol. 2012;2012:786753. doi: 10.1155/2012/786753. Epub 2012 Jun 3.
The risk of uterine rupture during attempted trial of labor after caesarean delivery (TOLAC) is well documented. However, vaginal rupture (in the absence of obstructed labour) is exceptionally uncommon. Below is described the rare case of a 37-year-old multiparous woman attempting TOLAC, who suffered a vaginal-rather than uterine-rupture, during the first stage of spontaneous labour. This case is an important reminder to obstetricians that concealed ruptures of both the vagina and uterus do occur and must be considered in clinical situations where another explanation is not apparent.
剖宫产术后试产（TOLAC）期间子宫破裂的风险已有充分记录。然而，阴道破裂（在无梗阻性分娩的情况下）极为罕见。以下描述的是一例罕见病例，一名37岁经产妇尝试TOLAC，在自然分娩第一产程中发生了阴道而非子宫破裂。该病例给产科医生敲响了重要警钟，即阴道和子宫的隐匿性破裂确实会发生，在没有明显其他解释的临床情况下必须予以考虑。
