Okafor C I, Okafor C O, Nwankwo M E
Department of Obstetrics & Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi Nigeria.
Niger J Med. 2012 Oct-Dec;21(4):472-3.
Puerperal Haematomas are not very common and supralevator haematomas following normal vaginal deliveries are quite rare.
We report a case of supralevator haematoma following a normal spontaneous vertex delivery, necessitating laparotomy.
A 29 year old multiparous woman who had a normal pregnancy and normal labour, developed a large supralevetor haematoma. She had a laparotomy and her recovery was uneventful.
Supralevator haematomas should be considered in patients presenting with lower abdominal pains and absence of vaginal bleeding following normal delivery. Ultrasound scan is helpful, but not conclusive in the diagnosis of supralevator haematomas.
产后血肿并不常见，正常阴道分娩后肛提肌上血肿极为罕见。
我们报告一例正常自然头位分娩后发生肛提肌上血肿并需行剖腹手术的病例。
一名29岁经产妇，孕期及分娩过程正常，却出现了巨大的肛提肌上血肿。她接受了剖腹手术，术后恢复顺利。
对于正常分娩后出现下腹部疼痛且无阴道出血的患者，应考虑肛提肌上血肿。超声扫描有助于诊断，但对肛提肌上血肿的诊断并不具有决定性。
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