Parisio-Poldiak Nayda, Morel Emma, Hua Christie, Gibbs Sean L, Billue David
Graduate Medical Education, Grand Strand Medical Center, HCA Healthcare, Myrtle Beach, USA.
Surgery, Edward Via College of Osteopathic Medicine-Carolinas, Myrtle Beach, USA.
Cureus. 2020 Dec 4;12(12):e11902. doi: 10.7759/cureus.11902.
Adhesions formed from previous Cesarean section (C-section) are a significant risk factor for bladder injury. We present a case of a 43-year-old pregnant woman who underwent a C-section and experienced severe complications due to adhesions and incisional dehiscence from a previous Cesarean delivery 11 years earlier. Several surgical and non-surgical interventions as radiologic tests, cystotomy, blood transfusion, cystogram, and others were necessary to resolve the issues followed by the Cesarean delivery. It is important for clinicians caring for women undergoing both primary and subsequent Cesarean sections to consider and mitigate risk factors for adhesion development.
既往剖宫产形成的粘连是膀胱损伤的一个重要危险因素。我们报告一例43岁的孕妇，她接受了剖宫产手术，因11年前一次剖宫产术后的粘连和切口裂开而出现严重并发症。剖宫产术后，需要进行多种手术和非手术干预，如影像学检查、膀胱切开术、输血、膀胱造影等，以解决这些问题。对于照顾初次和再次剖宫产的女性的临床医生来说，考虑并减轻粘连形成的危险因素非常重要。
