DeStephano Christopher C, Jernigan Amelia M, Szymanski Linda M
Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Division of Gynecology Oncology, Department of OB/GYN, Cleveland Clinic, Cleveland, Ohio.
J Minim Invasive Gynecol. 2015 Jul-Aug;22(5):902-5. doi: 10.1016/j.jmig.2015.03.016. Epub 2015 Mar 28.
Uterine diverticula are rare outpouchings of the uterus associated with abnormal uterine bleeding, pelvic pain, dysmenorrhea, and adverse obstetric events. At the time of cesarean delivery at 36 5/7 weeks' gestation during the patient's first pregnancy and 36 6/7 weeks during the second pregnancy, a fundal iatrogenic uterine diverticulum at the site of a prior robotic-assisted myomectomy was noted. The outpouching communicated with the endometrial cavity and was extremely attenuated, palpably 2 to 3 mm thick. Further research is needed to determine the incidence of iatrogenic uterine diverticulum after robotic myomectomy and whether these malformations increase the risk of adverse obstetric outcomes.
子宫憩室是子宫罕见的向外膨出，与异常子宫出血、盆腔疼痛、痛经及不良产科事件相关。在患者首次妊娠36⁵/₇周行剖宫产时以及第二次妊娠36⁶/₇周行剖宫产时，均发现先前机器人辅助子宫肌瘤切除部位有一个子宫底医源性憩室。该膨出与子宫内膜腔相通，壁极薄，触诊时厚度为2至3毫米。需要进一步研究以确定机器人子宫肌瘤切除术后医源性子宫憩室的发生率，以及这些畸形是否会增加不良产科结局的风险。
