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妊娠子宫扭转致胎盘早剥1例。

A Case of Abruptio Placentae due to the Torsion of Gravid Uterus.

作者信息

Zullino S, Faiola S, Paganelli A M, Ferrazzi E

机构信息

Vittore Buzzi Children' Hospital, Via Castelvetro 32, 20154 Milan, Italy.

出版信息

Case Rep Obstet Gynecol. 2014;2014:801616. doi: 10.1155/2014/801616. Epub 2014 Dec 4.

DOI:10.1155/2014/801616
PMID:25544919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4273504/
Abstract

Torsion of a gravid uterus is a rare obstetric emergency potentially lethal for the fetus and the mother. Some of the cases described in literature are associated with preexisting gynecologic conditions related to pelvic and uterine anatomy, even if most of cases remain unexplained. We report a case of acute 180-degree torsion of uterus at 33 weeks of gestation associated with abruptio placentae in a young Asian woman without apparent risk factors.

摘要

妊娠子宫扭转是一种罕见的产科急症，对胎儿和母亲都有潜在的致命风险。文献中描述的一些病例与先前存在的与盆腔和子宫解剖结构相关的妇科疾病有关，尽管大多数病例仍无法解释。我们报告一例33周妊娠时子宫急性180度扭转合并胎盘早剥的病例，患者为一名年轻亚洲女性，无明显危险因素。

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Uterine torsion complicated by severe placental abruption in the second trimester: a case report and literature review.中孕期子宫扭转合并严重胎盘早剥 1 例报告并文献复习
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本文引用的文献

1
A rare obstetric emergency: acute uterine torsion in a 32-week pregnancy.一例罕见的产科急症：孕32周急性子宫扭转
BMJ Case Rep. 2014 Apr 11;2014:bcr2013202974. doi: 10.1136/bcr-2013-202974.
2
Torsion of gravid uterus managed by obstetric hysterectomy with the fetus in situ.妊娠期子宫扭转，采用产科子宫切除术，胎儿原位保留。
J Obstet Gynaecol India. 2013 Aug;63(4):279-81. doi: 10.1007/s13224-012-0188-y. Epub 2012 Oct 16.
3
Asymptomatic torsion of a gravid uterus.妊娠子宫无症状扭转
Taiwan J Obstet Gynecol. 2013 Dec;52(4):599-601. doi: 10.1016/j.tjog.2013.10.029.
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A case of torsion of gravid uterus caused by leiomyoma.一例由子宫肌瘤引起的妊娠子宫扭转病例。
Case Rep Obstet Gynecol. 2011;2011:206418. doi: 10.1155/2011/206418. Epub 2011 Nov 20.
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Torsion in a perimenopausal non-gravid uterus with infarction and gangrene of uterus and adnexa: a proposed means of making the diagnosis clinically.
J Obstet Gynaecol. 2012 Apr;32(3):312-4. doi: 10.3109/01443615.2011.649318.
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Third trimester uterine torsion: case report.孕晚期子宫扭转：病例报告
J Obstet Gynaecol Can. 2006 Jun;28(6):531-535. doi: 10.1016/S1701-2163(16)32180-6.
7
Uterine torsion with maternal death: our experience and literature review.子宫扭转致产妇死亡：我们的经验及文献综述
Clin Exp Obstet Gynecol. 2005;32(4):245-6.
8
Extreme torsion of the pregnant uterus.妊娠子宫极度扭转
Aust N Z J Obstet Gynaecol. 1999 Aug;39(3):360-3. doi: 10.1111/j.1479-828x.1999.tb03416.x.
9
Uterine torsion in pregnancy.
Acta Obstet Gynecol Scand. 1992 May;71(4):260-5. doi: 10.3109/00016349209021049.