自发性阴道脏器脱出
Spontaneous vaginal evisceration.
作者信息
Siddiqui I, Samee A, Hall C, Cooper J, O'Mahony F
机构信息
Department of Obstetrics and Gynaecology, University Hospital of North Staffordshire, Stoke-on-Trent, UK.
出版信息
BMJ Case Rep. 2011 Mar 3;2011:bcr1020103410. doi: 10.1136/bcr.10.2010.3410.
Abstract
Management of vaginal prolapse in the elderly lacks a uniform consensus and continues to remain challenging. The authors report a case of an elderly lady who presented with a spontaneous vaginal evisceration. She had a long-standing vaginal prolapse being controlled by a shelf pessary, which, in her case became displaced 2 weeks prior to admission. The patient underwent a laparotomy with an intent to replace the bowel back within the peritoneal cavity and repair the vault. During the pelvic floor repair, she sustained an inadvertent button-hole injury to the rectum, which was oversewn. She went on to develop a rectovaginal fistula requiring a de-functioning colostomy. The patient made good recovery subsequently.
摘要
老年女性阴道脱垂的管理缺乏统一的共识，仍然具有挑战性。作者报告了一例老年女性自发性阴道脏器脱出的病例。她长期患有阴道脱垂，一直使用支撑型子宫托控制病情，但在入院前两周子宫托发生移位。患者接受了剖腹手术，目的是将肠管放回腹腔并修复穹窿。在盆底修复过程中，她意外出现直肠针孔伤，进行了缝合。随后她出现直肠阴道瘘，需要进行结肠造口术以使其功能丧失。患者随后恢复良好。
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