Bønnelykke Astrid, Jeppesen Ulla, Munk Anne Cathrine Hoffgaard
Gynækologisk-obstetrisk Afdeling, Regionshospitalet Randers, Skovlyvej 1, 8930 Randers NØ.
Ugeskr Laeger. 2015 Jan 26;177(2A):66-7.
Uterine rupture is a serious complication, associated with perinatal and maternal morbidity and mortality. This case report describes uterine rupture in a patient who did not have any previous caesarean section. The patient had acute abdominal pain, hypertonic uterus, blood in the amniotic fluid and abnormal cardiotocographic values. An abruption of the placenta was suspected, and an acute caesarean section was performed during which a rupture in fundus uteri was found. It was later experienced that the patient ten years earlier had suffered a uterine perforation during evacuation after a late abortion.
子宫破裂是一种严重的并发症，与围产期及孕产妇的发病和死亡相关。本病例报告描述了一名既往无剖宫产史患者发生的子宫破裂。该患者出现急性腹痛、子宫张力过高、羊水含血及异常的胎心监护值。怀疑有胎盘早剥，遂行急诊剖宫产，术中发现子宫底部破裂。后来发现该患者十年前在晚期流产后清宫时曾发生子宫穿孔。
