瘢痕子宫的隐匿性子宫破裂
Silent uterine rupture in scarred uterus.
作者信息
Langhe Ream, Shah Umme Farwa, Alfathil Attia, Gannon Michael
机构信息
Obstetrics and Gynaecology, Midland Regional Hospital Mullingar, Mullingar, Ireland
Obstetrics and Gynaecology, Midland Regional Hospital Mullingar, Mullingar, Ireland.
出版信息
BMJ Case Rep. 2017 Mar 24;2017:bcr-2016-218189. doi: 10.1136/bcr-2016-218189.
UNLABELLED
Uterine rupture in pregnancy is a rare and catastrophic complication with a high incidence of fetal and maternal morbidity. Very few cases have been reported in the literature.
CASE PRESENTATION
A 28-year-old fifth gravid woman with a history of one caesarean section presented to our department at 39 weeks and 6 days gestation with complaints of headache, epigastric pain and nausea. Her blood pressure was elevated and there was proteinuria. Emergency caesarean section was performed in view of symptoms. Uterine rupture was found during the surgery. A live male infant was delivered in good condition. Postnatal recovery was unremarkable and the woman discharged on postoperative day 5.
CONCLUSION
Rupture of the uterus can present in third trimester even before labour with minimal or no symptoms.
未标注
妊娠子宫破裂是一种罕见且灾难性的并发症，胎儿和母亲发病的发生率很高。文献中报道的病例很少。
病例介绍
一名28岁、孕5产的女性，有一次剖宫产史，在妊娠39周零6天时因头痛、上腹部疼痛和恶心前来我院就诊。她血压升高且有蛋白尿。鉴于症状进行了急诊剖宫产。手术中发现子宫破裂。一名存活的男婴顺利娩出。产后恢复情况良好，该女性在术后第5天出院。
结论
子宫破裂可在妊娠晚期甚至在临产之前出现，症状轻微或无症状。
Zotero 插件