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子宫破裂:产后产褥期败血症的罕见原因。

Uterine Dehiscence: A Rare Cause of Postpartum Puerperal Sepsis.

作者信息

Haridas Manjunath, Tenneti Venkata Jaya Divya, Joshi Amey

机构信息

Surgery, Manipal Hospital, Bangalore, IND.

General Surgery, Manipal Hospital, Bangalore, IND.

出版信息

Cureus. 2021 Sep 25;13(9):e18264. doi: 10.7759/cureus.18264. eCollection 2021 Sep.

Abstract

Uterine dehiscence (partial or complete) is a rare complication of lower segment cesarean section (LSCS). Puerperal sepsis with intra-abdominal abscess following this event has been rarely reported. The delay in diagnosis and management of the condition can result in significant morbidity and mortality. We herein report three cases of puerperal sepsis along with intra-abdominal abscess associated with uterine dehiscence following LSCS. These patients in the current case series presented with complaints of fever and abdominal pain. Early recognition and prompt treatment with diagnostic laparoscopy and or laparotomy with drainage were effective in the management of these patients.

摘要

子宫破裂(部分或完全破裂)是下段剖宫产术(LSCS)的一种罕见并发症。该事件后发生的产褥期败血症伴腹腔内脓肿鲜有报道。该病诊断和治疗的延迟可导致显著的发病率和死亡率。我们在此报告三例产褥期败血症伴腹腔内脓肿病例,这些病例与下段剖宫产术后子宫破裂相关。本病例系列中的这些患者均有发热和腹痛的主诉。通过诊断性腹腔镜检查和/或剖腹探查引流进行早期识别和及时治疗,对这些患者的管理是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d90d/8544915/6a2eb1624cc8/cureus-0013-00000018264-i01.jpg

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