产后即刻发生左侧输尿管自发性破裂的首例病例。

First case of spontaneous rupture of the left ureter in immediate post-partum.

作者信息

Verhaeghe C, Panayotopoulos P, Descamps Ph, Legendre G

机构信息

Department of Gynecology-Obstetrics, CHU Angers, 49933 Angers Cedex, France.

Urology Departement CH Le Mans, 72037 Le Mans Cedex, France.

出版信息

J Gynecol Obstet Hum Reprod. 2019 Nov;48(9):775-779. doi: 10.1016/j.jogoh.2019.03.024. Epub 2019 Mar 27.

DOI:10.1016/j.jogoh.2019.03.024

PMID:30928544

Abstract

The rupture of the ureter during pregnancy is a rare complication and is most frequently observed in the right ureter. We report below the case of a rupture in the left ureter. A 36-year old woman gave birth vaginally to a 3010-g girl without operative vaginal delivery or episiotomy. The following day, the patient exhibited a sudden pain in the left side spreading to the left iliac fossa. An abdominopelvic CT scan was carried out and revealed a flow of contrast agent at the left ureteral lumbar level and a left urinoma. A ureteral stent was inserted on the left side under X-ray control. Six weeks after delivery the ureteral stent was removed. The Uro CT scan allowed us to confirm the total recovery of the left ureter. We have reported below the first case of left rupture treated in a conservative manner with positive and functional clinical progress.

摘要

妊娠期间输尿管破裂是一种罕见的并发症，最常发生于右侧输尿管。我们在此报告一例左侧输尿管破裂的病例。一名36岁女性经阴道分娩一3010克女婴，未行阴道助产或会阴切开术。次日，患者左侧突发疼痛并蔓延至左髂窝。进行了腹部盆腔CT扫描，结果显示左侧输尿管腰段有造影剂外渗及左肾周尿囊肿形成。在X线引导下于左侧置入输尿管支架。产后六周取出输尿管支架。泌尿系统CT扫描证实左侧输尿管完全恢复。我们在此报告首例以保守方式治疗且临床进展良好、功能恢复正常的左侧输尿管破裂病例。