Gabby Lauryn C, McDaniel Katherine E, Gordon Brian J, Al-Marayati Laila A
Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Diego, California, USA.
Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, California, USA.
Case Rep Obstet Gynecol. 2021 Jun 29;2021:5591893. doi: 10.1155/2021/5591893. eCollection 2021.
Hematometrocolpos is a rare complication following procedures performed on the female genital tract. While usually seen in adolescents with congenital anomalies including imperforate hymen and vaginal stenosis, it has also been described following obstetric vaginal lacerations. The incidence following cesarean delivery is unknown.
This is a 43-year-old multigravida who underwent a low transverse cesarean delivery complicated by uterine dehiscence, as well as cervical and vaginal lacerations. The repair resulted in lower genital tract obstruction. She presented seven months afterwards with severe abdominopelvic pain and secondary amenorrhea, which resolved after vaginal dilation and excision of the vaginal scar.
Systematic inspection of the upper vagina should be undertaken following complicated cesarean delivery with vaginal extension. Hematometrocolpos after cesarean delivery should be managed similar to a transverse vaginal septum.
经血潴留是女性生殖道手术后罕见的并发症。虽然通常见于患有先天性异常（包括处女膜闭锁和阴道狭窄）的青少年，但也有在产科阴道裂伤后出现的相关描述。剖宫产术后的发生率尚不清楚。
这是一名43岁的经产妇，接受了低位横切口剖宫产，并发子宫裂开以及宫颈和阴道裂伤。修复手术导致下生殖道梗阻。七个月后，她出现严重的腹盆腔疼痛和继发性闭经，经阴道扩张和切除阴道瘢痕后症状缓解。
对于伴有阴道延长的复杂剖宫产术后，应系统检查阴道上段。剖宫产术后的经血潴留应按照阴道横隔的处理方式进行治疗。
