Martínez-Varea Alicia, Nohales-Alfonso Francisco, Diago Almela Vicente José, Perales-Marín Alfredo
Department of Obstetrics and Gynecology, Hospital Universitario y Politécnico La Fe, Torre F Planta 3 ª , Bulevar Sur s/n, 46026 Valencia, Spain.
Case Rep Obstet Gynecol. 2013;2013:161376. doi: 10.1155/2013/161376. Epub 2013 Jun 27.
A 35-year-old gravida 7, para 1, and abortus 5 female with hypogastric pain and inability to void urine after 14 + 3 weeks of amenorrhea was examined in the emergency department. One year before, a uterine prolapse had been diagnosed in another hospital. Examination showed a uterine prolapse grade 2 with palpable bladder. The patient was unable to void urine. After a manual reduction of the uterine prolapse, the patient underwent an emergency catheterization for bladder drainage. A Hodge pessary (size 70) was placed, which led to spontaneous micturitions. Due to the persistence of the symptoms the following day, Hodge pessary was replaced by an Arabin cerclage pessary. Although the pessary could be removed from the beginning of the second trimester, due to the uterine prolapse as a predisposing factor in the patient and the uncomplicated progression of pregnancy, it was decided to maintain it in our patient. Therefore, Arabin cerclage pessary allowed a successful pregnancy outcome and was not associated with threatened preterm delivery or vaginal infection.
一名35岁女性，孕7产1流5，停经14⁺³周后因下腹痛及无法排尿在急诊科接受检查。一年前，在另一家医院被诊断为子宫脱垂。检查显示子宫脱垂2度，可触及膀胱。患者无法排尿。手动复位子宫脱垂后，患者接受了膀胱引流的紧急导尿术。放置了一个霍奇子宫托（70号），这使得患者能够自主排尿。由于第二天症状持续存在，霍奇子宫托被阿拉伯式宫颈环扎子宫托取代。尽管从孕中期开始就可以取出子宫托，但鉴于患者存在子宫脱垂这一诱发因素且孕期进展顺利，决定在该患者中保留子宫托。因此，阿拉伯式宫颈环扎子宫托使妊娠成功结局，且未出现先兆早产或阴道感染。
