Rasool Mahreen, Masroor Imrana, Shakoor Shafia, Munim Shama
Department of Radiology, Aga Khan University Hospital, Karachi.
Department of Obstetrics and Gynecology, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2016 Jul;66(7):898-900.
Spontaneous Uterine rupture is associated with massive intra-peritoneal bleed which can be fatal if not recognized. We report a case of 32 year old multigravida at 28 weeks of gestation with history of liver cysts, previous caesarean and uterine curettage, who presented with acute abdominal pain and tenderness; ultrasound revealed placenta percreta. CT abdomen showed haemoperitoneum. The patient underwent emergency caesarean hysterectomy due to uterine rupture at the cornual site.
自发性子宫破裂与大量腹腔内出血相关，如果未被识别可能会致命。我们报告一例32岁的多产妇，妊娠28周，有肝囊肿病史、既往剖宫产和刮宫史，出现急性腹痛和压痛；超声显示穿透性胎盘植入。腹部CT显示腹腔积血。患者因子宫角部破裂接受了急诊剖宫产子宫切除术。
