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急性小肠梗阻期间成功的阴道分娩:一例病例报告及文献综述

Successful Vaginal Delivery during Acute Small Bowel Obstruction: A Case Report and Review of the Literature.

作者信息

Stephens Angela J, Wagner Stephen M, Pineles Beth L, Soto Eleazar E

机构信息

Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.

出版信息

Case Rep Obstet Gynecol. 2021 Mar 3;2021:6632495. doi: 10.1155/2021/6632495. eCollection 2021.

DOI:10.1155/2021/6632495
PMID:33747586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7952184/
Abstract

Small bowel obstruction during pregnancy is rare and can be detrimental to both mother and fetus. In most cases, management eventually involves surgical intervention. Little is known regarding optimal mode of delivery in those with bowel obstruction during pregnancy. We present a case of vaginal delivery during acute small bowel obstruction as well as a review of recent literature regarding mode of delivery in the setting of bowel obstruction. Our case and literature review demonstrates that in pregnancies complicated by small bowel obstruction, successful vaginal delivery can be achieved in those with stable maternal-fetal status.

摘要

妊娠期小肠梗阻较为罕见,且对母亲和胎儿均可能有害。在大多数情况下,治疗最终需要手术干预。对于妊娠期肠梗阻患者的最佳分娩方式,人们了解甚少。我们报告一例急性小肠梗阻期间经阴道分娩的病例,并对近期有关肠梗阻情况下分娩方式的文献进行综述。我们的病例及文献综述表明,在合并小肠梗阻的妊娠中,母胎状况稳定的患者可成功经阴道分娩。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/7952184/0217aff44147/CRIOG2021-6632495.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/7952184/187475f7062b/CRIOG2021-6632495.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/7952184/0217aff44147/CRIOG2021-6632495.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/7952184/187475f7062b/CRIOG2021-6632495.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874e/7952184/0217aff44147/CRIOG2021-6632495.002.jpg

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2
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Surg Case Rep. 2019 Dec 5;5(1):190. doi: 10.1186/s40792-019-0754-y.
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Risk factors for repeat hernia repair in women of childbearing age.
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4
Intussusception in a pregnant patient caused by an ectopic pancreatic mass.因胰腺异位肿块导致的孕妇肠套叠。
Clin J Gastroenterol. 2020 Apr;13(2):209-213. doi: 10.1007/s12328-019-01030-5. Epub 2019 Jul 30.
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Appendiculo-ileal knot presenting at the third trimester of pregnancy.妊娠晚期出现的阑尾-回肠结。
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ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery.美国妇产科医师学会实践公告第 205 号:剖宫产后的阴道分娩。
Obstet Gynecol. 2019 Feb;133(2):e110-e127. doi: 10.1097/AOG.0000000000003078.
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