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嵌顿妊娠子宫:一种罕见但可能具有毁灭性的产科并发症。

Incarcerated gravid uterus: A rare but potentially devastating obstetric complication.

作者信息

Ntafam Carnot Njutapvoui, Beutler Bryce D, Harris Robert D

机构信息

All Saints University School of Medicine, Belair, Kingstown, St. Vincent & the Grenadines.

University of Southern California, Keck School of Medicine, Department of Radiology, 1500 San Pablo Street, 2 Floor, Los Angeles, CA 90033, USA.

出版信息

Radiol Case Rep. 2022 Mar 10;17(5):1583-1586. doi: 10.1016/j.radcr.2022.02.034. eCollection 2022 May.

DOI:10.1016/j.radcr.2022.02.034
PMID:35309386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8924533/
Abstract

Incarceration of the gravid uterus is a rare obstetric complication characterized by entrapment of the gravid uterus between the sacral promontory and pubic symphysis. Clinical symptoms are highly variable and may include low back pain, urinary retention, and nausea. A presumptive diagnosis can often be established based on correlation of clinical history and physical examination. However, ultrasound and/or pelvic magnetic resonance imaging are essential for confirmation. Herein, we describe a 30-year-old female who presented with uterine incarceration and discuss the diagnosis, imaging features, and management of this uncommon but important clinical entity.

摘要

妊娠子宫嵌顿是一种罕见的产科并发症,其特征为妊娠子宫被骶岬和耻骨联合夹住。临床症状差异很大,可能包括腰痛、尿潴留和恶心。通常可根据临床病史和体格检查结果进行初步诊断。然而,超声和/或盆腔磁共振成像对于确诊至关重要。在此,我们描述一名出现子宫嵌顿的30岁女性,并讨论这种不常见但重要的临床病症的诊断、影像学特征及处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/969b/8924533/d801d48815f4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/969b/8924533/08a8560ce0ec/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/969b/8924533/d801d48815f4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/969b/8924533/08a8560ce0ec/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/969b/8924533/d801d48815f4/gr2.jpg

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本文引用的文献

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BMC Pregnancy Childbirth. 2019 Nov 8;19(1):408. doi: 10.1186/s12884-019-2549-3.
2
Spontaneous reduction of an incarcerated gravid uterus after myomectomy in the second trimester: A case report.孕中期子宫肌瘤切除术后嵌顿妊娠子宫的自然复位:一例报告
Medicine (Baltimore). 2019 Mar;98(9):e14731. doi: 10.1097/MD.0000000000014731.
3
Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients.子宫嵌顿:健康孕妇尿潴留的罕见原因。
Eur J Obstet Gynecol Reprod Biol X. 2023 Aug 17;19:100227. doi: 10.1016/j.eurox.2023.100227. eCollection 2023 Sep.
West J Emerg Med. 2015 Sep;16(5):790-2. doi: 10.5811/westjem.2015.7.27185. Epub 2015 Oct 20.
4
Incarceration of the gravid uterus: diagnosis and preoperative evaluation by magnetic resonance imaging.妊娠子宫嵌顿:磁共振成像诊断及术前评估
Eur J Obstet Gynecol Reprod Biol. 2014 Aug;179:191-7. doi: 10.1016/j.ejogrb.2014.05.037. Epub 2014 Jun 4.
5
The incarcerated gravid uterus: complications and lessons learned.妊娠子宫嵌顿:并发症及教训。
Obstet Gynecol. 2014 Feb;123(2 Pt 2 Suppl 2):423-427. doi: 10.1097/AOG.0000000000000102.
6
The incarcerated uterus: a review of MRI and ultrasound imaging appearances.嵌顿子宫:MRI 和超声成像表现的综述。
AJR Am J Roentgenol. 2013 Jul;201(1):223-9. doi: 10.2214/AJR.12.9473.
7
Sonographic and magnetic resonance imaging findings in uterine incarceration.子宫嵌顿的超声和磁共振成像表现。
J Ultrasound Med. 2012 Apr;31(4):645-50. doi: 10.7863/jum.2012.31.4.645.
8
Significance of pelvic magnetic resonance imaging in preoperative diagnosis of incarcerated retroverted gravid uterus with a large anterior leiomyoma: a case report.盆腔磁共振成像在术前诊断合并巨大前壁平滑肌瘤的嵌顿性后位妊娠子宫中的意义:一例报告
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9
Colonoscopy-assisted reposition of the incarcerated uterus in mid-pregnancy: a report of four cases and a literature review.结肠镜辅助下复位妊娠中期嵌顿子宫 4 例报告及文献复习。
Eur J Obstet Gynecol Reprod Biol. 2011 Oct;158(2):153-8. doi: 10.1016/j.ejogrb.2011.05.024. Epub 2011 Jul 8.
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Recurrent incarceration and/or sacculation of the gravid uterus: a review.妊娠子宫反复嵌顿和/或形成囊袋:综述
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