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The tip of the iceberg: Post caesarean wound dehiscence presenting as abdominal wound sepsis.冰山一角：剖宫产术后伤口裂开表现为腹部伤口脓毒症。
Int J Surg Case Rep. 2015;9:69-71. doi: 10.1016/j.ijscr.2015.02.013. Epub 2015 Feb 11.
2
Uterine necrosis after B-Lynch suture in a classical caesarean section.古典式剖宫产术中应用B-Lynch缝合术后的子宫坏死
Aust N Z J Obstet Gynaecol. 2013 Dec;53(6):595-6. doi: 10.1111/ajo.12118.
3
Uterine necrosis following pelvic arterial embolization for post-partum hemorrhage: review of the literature.产后出血行盆腔动脉栓塞术后子宫坏死：文献复习。
Eur J Obstet Gynecol Reprod Biol. 2013 Oct;170(2):309-14. doi: 10.1016/j.ejogrb.2013.07.016. Epub 2013 Aug 7.
4
Resection and repair of large abdominal wall lesions in gynecologic patients.妇科患者的大腹壁病变的切除与修复。
Chin Med J (Engl). 2013;126(9):1673-7.
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[Uterine necrosis after arterial embolization for postpartum hemorrhage].产后出血动脉栓塞术后子宫坏死
Gynecol Obstet Fertil. 2014 Feb;42(2):126-128. doi: 10.1016/j.gyobfe.2011.07.045. Epub 2012 Feb 16.
6
Uterine necrosis following application of combined uterine compression suture with intrauterine balloon tamponade.联合应用子宫压迫缝合术与宫腔球囊填塞术后子宫坏死
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7
Group A Streptococcus causing a life-threatening postpartum necrotizing myometritis: a case report.A组链球菌引发危及生命的产后坏死性子宫肌炎：病例报告
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8
Uterine wall partial thickness necrosis following combined B-Lynch and Cho square sutures for the treatment of primary postpartum hemorrhage.
J Obstet Gynaecol Can. 2008 May;30(5):421-4. doi: 10.1016/s1701-2163(16)32827-4.
9
Uterine necrosis following B-Lynch suture for primary postpartum haemorrhage.用于治疗原发性产后出血的B-Lynch缝合术后子宫坏死
BJOG. 2006 Nov;113(11):1341; author reply 1342. doi: 10.1111/j.1471-0528.2006.01094.x.

迟发性子宫坏死：伤口不愈合的罕见原因。

Delayed Uterine Necrosis: Rare Cause of Nonhealing Wound.

作者信息

Nigam Aruna, Gupta Neha, Elahi Arifa A, Jairajpuri Zeeba S, Batra Swaraj

机构信息

Professor, Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research , Jamia Hamdard, New Delhi, India .

Associate Professor, Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research , Jamia Hamdard, New Delhi, India .

出版信息

J Clin Diagn Res. 2016 Dec;10(12):QD01-QD02. doi: 10.7860/JCDR/2016/20943.9058. Epub 2016 Dec 1.

DOI:10.7860/JCDR/2016/20943.9058
PMID:28208947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5296520/
Abstract

Uterine necrosis is a very rare condition and most of the reported cases occurred after pelvic arterial embolization for post-partum haemorrhage, embolization of fibroid uterus or application of B-Lynch sutures. A case of delayed myometrial necrosis is reported in post-cesarean patient where no embolization or uterine compression sutures have been applied. Patient presented with foul smelling discharge from the gaped abdominal wound following caesarean section. Abdomen was closed after exploration and lavage. Patient did not have complete healing and area of unhealed wound remained through which subinvoluted uterus was peeping out. Patient was taken for resuturing again but the uterus was found to be completely necrotic and hysterectomy was performed. Patient responded to treatment.

摘要

子宫坏死是一种非常罕见的病症，大多数已报道的病例发生在产后出血行盆腔动脉栓塞、子宫肌瘤栓塞或应用B-Lynch缝合术后。本文报道了一例剖宫产术后发生延迟性子宫肌层坏死的病例，该患者未行栓塞术或子宫压迫缝合术。患者剖宫产术后腹部切口裂开，伴有恶臭分泌物。经探查和冲洗后关闭腹部。患者伤口未完全愈合，未愈合区域仍有未复旧的子宫突出。患者再次接受缝合手术，但发现子宫已完全坏死，遂行子宫切除术。患者对治疗有反应。