完全腹腔镜修复子宫内膜刮除术后继发的回肠和子宫医源性穿孔。
Totally laparoscopic repair of an ileal and uterine iatrogenic perforation secondary to endometrial curettage.
作者信息
Vecchio Rosario, Marchese Salvatore, Leanza Vito, Leanza Antonio, Intagliata Eva
机构信息
Department of Surgery, University of Catania, Policlinico-Vittorio Emanuele University Hospital, Catania, Italy.
出版信息
Int Surg. 2015 Feb;100(2):244-8. doi: 10.9738/INTSURG-D-13-00267.1.
Small bowel perforation is a unique, serious complication during endometrial biopsy. The authors report a case of a double uterine-ileal perforation totally managed by primary laparoscopic repair. A 63-year-old female was admitted with acute abdomen 2 days after an endometrial curettage. Abdominal X-ray shows signs of pneumoperitoneum. Emergency diagnostic laparoscopy was performed and a uterine-ileal perforation was identified. Repair was accomplished by a totally laparoscopic intracorporeally suturing of the 2 breaches. Postoperative course showed only a delayed ileus and the patient was discharged after 5 days with no complications. When acute abdomen arises following uterine biopsy, a potential iatrogenic intestinal laceration always has to be ruled out. Laparoscopic approach is a quick and safe technique in these cases. Totally laparoscopic primary closure of the iatrogenic ileal laceration may be accomplished with low morbidity.
小肠穿孔是子宫内膜活检过程中一种独特且严重的并发症。作者报告了一例双子宫 - 回肠穿孔病例，该病例完全通过腹腔镜一期修补术成功治疗。一名63岁女性在子宫内膜刮除术后2天因急腹症入院。腹部X线显示有气腹迹象。进行了急诊诊断性腹腔镜检查，发现子宫 - 回肠穿孔。通过完全腹腔镜下体内缝合两个穿孔部位完成了修补。术后病程仅出现了延迟性肠梗阻，患者在5天后出院，无并发症。子宫活检后出现急腹症时，必须始终排除潜在的医源性肠道撕裂伤。在这些病例中，腹腔镜手术是一种快速且安全的技术。完全腹腔镜下一期缝合医源性回肠撕裂伤可实现较低的发病率。
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