子宫动脉假性动脉瘤破裂导致的产后迟发性腹腔积血
Delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture.
作者信息
Kyeong Kyu-Sang, Moon Ji-Yeon, Chae Song-Hwa, Hong Seung Hwa, Kang Minho, Jeong Eun-Hwan
机构信息
Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
Department of Radiology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
出版信息
Obstet Gynecol Sci. 2017 May;60(3):303-307. doi: 10.5468/ogs.2017.60.3.303. Epub 2017 May 15.
A 30-year-old woman experienced severe abdominal pain 8 days after vaginal delivery. The patient was diagnosed with hemoperitoneum due to rupture of the left uterine artery pseudoaneurysm, which was confirmed via ultrasound with color Doppler and computed tomography scans. This patient was treated with bilateral uterine artery embolization to maintain fertility. A uterine artery pseudoaneurysm that causes delayed postpartum hemorrhage can occur after cesarean section or vaginal delivery. A uterine artery pseudoaneurysm can be fatal, so its detection and diagnosis are critical. Herein, we report a case of delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture.
一名30岁女性在阴道分娩8天后出现严重腹痛。患者被诊断为左子宫动脉假性动脉瘤破裂导致的腹腔积血，这通过彩色多普勒超声和计算机断层扫描得以证实。该患者接受了双侧子宫动脉栓塞术以保留生育能力。剖宫产或阴道分娩后可能会发生导致产后延迟出血的子宫动脉假性动脉瘤。子宫动脉假性动脉瘤可能是致命的，因此其检测和诊断至关重要。在此，我们报告一例因子宫动脉假性动脉瘤破裂导致的产后延迟腹腔积血病例。
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