经阴道分娩后发生子宫破裂的腹疝
Ventral hernia with uterine rupture after vaginal delivery.
作者信息
Byun Jung Mi, Jeong Dae Hoon, Kim Young Nam, Jeong Chul Hoi, Lee Kyung Bok, Sung Moon Su, Kim Ki Tae
机构信息
Department of Obstetrics and Gynecology, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea; Paik Institute for Clinical Research, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea.
Department of Obstetrics and Gynecology, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea; Paik Institute for Clinical Research, College of Medicine, Inje University, Busan Paik Hospital, Busan, South Korea.
出版信息
Taiwan J Obstet Gynecol. 2014 Sep;53(3):389-91. doi: 10.1016/j.tjog.2013.11.006.
OBJECTIVE
Ventral hernia is uncommon during pregnancy and is extremely rare in postpartum women. It leads to a life-threatening emergency.
CASE REPORT
A 33-year-old woman, gravida 2 para 1, was admitted to our institute with severe abdominal pain and overdistended abdomen immediately after a full-term vaginal delivery. She had a normal prenatal course and denied having any medical and surgical history. The primipara woman with no history of abdominal surgery was diagnosed with a ventral hernia with uterine rupture after vaginal delivery. We performed an emergency laparotomy and primary repair of the uterine rupture and abdominal wall defect. An abdominal binder was provided for the postoperative period. The patient's postoperative period was uncomplicated. She was discharged from the hospital after 12 days.
CONCLUSION
If a patient has hernia-related symptoms or complications, the diagnosis and management of the hernia should be performed as soon as possible, regardless of the onset, to decrease maternal and fetal mortality.
目的
腹疝在孕期并不常见，在产后女性中极为罕见。它会引发危及生命的紧急情况。
病例报告
一名33岁女性，孕2产1，足月阴道分娩后立即因严重腹痛和腹部过度膨隆入住我院。她孕期过程正常，否认有任何内科及外科病史。这位无腹部手术史的经产妇在阴道分娩后被诊断为腹疝合并子宫破裂。我们进行了急诊剖腹手术，对子宫破裂和腹壁缺损进行了一期修复。术后使用了腹带。患者术后恢复顺利。12天后出院。
结论
如果患者出现与疝相关的症状或并发症，无论发病时间如何，均应尽快对疝进行诊断和处理，以降低母婴死亡率。
Zotero 插件