一名未孕年轻女性的脓性子宫积脓自发性破裂
Spontaneous Rupture of Pyometra in a Nonpregnant Young Woman.
作者信息
Mostafa-Gharabaghi Parvin, Bordbar Shima, Vazifekhah Shabnam, Naghavi-Behzad Mohammad
机构信息
Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Obstetrics and Gynecology, Tabriz University of Medical Sciences, Tabriz, Iran.
Reproductive Health Research Center, Department of Obstetrics and Gynecology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
出版信息
Case Rep Obstet Gynecol. 2017;2017:4572379. doi: 10.1155/2017/4572379. Epub 2017 Feb 19.
A 40-year-old woman presented with severe vaginal bleeding. Initial workup with an abdominal sonography revealed endometrium for about 3 mm and free fluid in the abdomen. Hemodynamic instability with abdominal pain and free fluid in the abdomen prompted blood transfusion and laparotomy. There were about 1000 cc blood and clots in the abdomen at laparotomy. There was a longitudinal rupture from fundus up to cervix at the left side of the uterus. Tearing was in full thickness from serosa to endometrium. Scar of previous cesarean was transvers and not associated with this tearing. There was not any myomectomy scar.
一名40岁女性出现严重阴道出血。最初通过腹部超声检查发现子宫内膜约3毫米，腹腔内有游离液体。因血流动力学不稳定、腹痛及腹腔内游离液体，遂进行输血及剖腹手术。剖腹手术时腹腔内有约1000毫升血液和血凝块。子宫左侧从宫底至宫颈有一纵向破裂口。撕裂从浆膜层至子宫内膜全层。既往剖宫产瘢痕为横向，与此次撕裂无关。无任何子宫肌瘤切除术瘢痕。
Zotero 插件