妊娠晚期复发性子宫破裂。
Recurrent uterine rupture in third trimester of pregnancy.
机构信息
Department of Obstetrics and Gynaecology, Barnsley District General Hospital, Barnsley, UK
Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
出版信息
BMJ Case Rep. 2021 Aug 13;14(8):e241987. doi: 10.1136/bcr-2021-241987.
We report a case of recurrent upper segment uterine rupture in a 31-year-old woman at 32/40 weeks of gestation. She had fundal uterine rupture 3 years ago in her first pregnancy at 40 weeks of gestation. There was no history of uterine malformation or prior uterine surgery. However, we noted that she had had three laparoscopic procedures for endometriosis treatment. She was scheduled to have an elective repeat caesarean section at 34/40 weeks of gestation in the index pregnancy. Unfortunately, she presented at 32/40 weeks with features of acute abdomen and signs of fetal distress. She had a category 1 caesarean section and was found to have fundal uterine rupture at the same site. She had a smooth uneventful recovery following a timely intervention and discharged home on day 5 postoperatively in a good condition with her baby girl.
我们报告了一例 31 岁女性在妊娠 32/40 周时发生的复发性上段子宫破裂。她在首次妊娠 40 周时曾有过宫底子宫破裂的病史。没有子宫畸形或既往子宫手术史。然而，我们注意到她曾因子宫内膜异位症接受过三次腹腔镜手术治疗。她计划在本次妊娠中于 34/40 周进行择期再次剖宫产。不幸的是，她在妊娠 32/40 周时出现了急性腹痛的症状和胎儿窘迫的迹象。她进行了一级剖宫产，在同一部位发现宫底子宫破裂。在及时干预下，她恢复顺利，术后第 5 天出院，母婴状况良好。
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