36 周妊娠、既往剖宫产术后子宫自发性、无明显诱因的后位破裂。
Silent spontaneous posterior uterine rupture of a prior caesarean delivery at 36 weeks of gestation.
机构信息
Department of Obstetrics and Gynaecology, Women and Children's Hospital of Shanxi Province, Taiyuan, 030001, People's Republic of China.
出版信息
BMC Pregnancy Childbirth. 2019 Jan 11;19(1):23. doi: 10.1186/s12884-019-2180-3.
BACKGROUND
In caesarean section patients, the spontaneous rupture of the posterior wall of the uterus is extremely rare, with nonspecific signs and symptoms being present. Perinatal and maternal morbidity and mortality are high.
CASE PRESENTATION
A 28-year-old woman at 36 + 6 weeks of gestation presented with mild uterine contractions and developed a sudden abdominal distension. An emergency laparotomy was performed, and the posterior wall of the uterus had ruptured. A baby boy was born.
CONCLUSION
Silent uterine rupture is very rare and easy to ignore due to nonspecific clinical symptoms, unexplained haemoglobin reduction and haemoperitoneum, but these features caution us to more closely consider uterine rupture in patients.
背景
在剖宫产患者中，子宫后壁自发性破裂极为罕见，且存在非特异性的体征和症状。围产儿和孕产妇的发病率和死亡率都很高。
病例介绍
一位 28 岁的 36+6 周妊娠的女性出现轻度子宫收缩，并突然出现腹胀。行急诊剖腹探查术，发现子宫后壁破裂。娩出一名男婴。
结论
由于非特异性的临床症状、不明原因的血红蛋白降低和血腹，隐匿性子宫破裂非常罕见且容易被忽视，但这些特征提示我们，对于出现这些情况的患者，更应密切考虑子宫破裂的可能。
Zotero 插件