Ka Ibrahima, Diop Papa Saloum, Niang Amadou Bocar, Faye Alioucoly, Ndoye Jean Marck, Fall Babacar
Service de Chirurgie Générale, Hôpital Général de Grand-Yoff, Dakar, Sénégal.
Pan Afr Med J. 2016 May 27;24:98. doi: 10.11604/pamj.2016.24.98.9307. eCollection 2016.
Clandestine abortion is known to be a major contributor to maternal mortality. We report a case of a 25-year old patient in her 12th week of amenorrhea with peritonitis due to uterine perforation following abortion, admitted with abdomen and pelvis pain, vomiting and diarrhea. Clinical examination on admission showed asthenic peritonitis. Surgical exploration showed widespread acute peritonitis secondary to a perforation of the uterine dome, with collection of 1500 cc of purulent material, dilated bowel loops and multiple false membranes.
pus aspiration, peritoneal lavage; uterine suture, drainage. The postoperative course was uneventful, the patient was discharged after 15 days.
已知秘密堕胎是孕产妇死亡的主要原因之一。我们报告一例25岁患者,停经12周,因堕胎后子宫穿孔导致腹膜炎入院,伴有腹部和骨盆疼痛、呕吐及腹泻。入院时临床检查显示为无力型腹膜炎。手术探查发现子宫穹窿穿孔继发广泛急性腹膜炎,有1500毫升脓性物质积聚、肠袢扩张及多处假膜形成。
脓液抽吸、腹腔灌洗;子宫缝合、引流。术后过程顺利,患者15天后出院。