Massad L S, Santoriello K, Berchuck A
Department of Obstetrics and Gynecology, Duke University, Durham, NC 27710.
Int J Gynaecol Obstet. 1989 Jul;29(3):257-61. doi: 10.1016/0020-7292(89)90265-8.
A patient with pneumoperitoneum that developed due to peritoneovaginal fistula following hysterectomy is presented. In addition, we have reviewed the literature and formulated guidelines for the management of this problem. Most patients present following sexual intercourse and in many cases the fistula can be diagnosed radiographically. Laparotomy may be avoided if the cause of the fistula is suspected. Surgical closure of the fistula may be unnecessary since spontaneous closure occurs frequently.
本文报告了一例子宫切除术后因腹膜阴道瘘导致气腹的患者。此外，我们回顾了相关文献并制定了该问题的处理指南。大多数患者在性交后出现症状，在许多情况下，瘘管可通过影像学检查诊断。如果怀疑存在瘘管的病因，可避免进行剖腹手术。由于瘘管常可自行闭合，手术闭合瘘管可能并无必要。
