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[剖宫产瘢痕妊娠患者的子宫破裂]

[Uterine rupture in a patient with a cesarean scar pregnancy].

作者信息

Salsac N, Brichant G, Petit P, Chantraine F, Nisolle M

机构信息

Service de Gynécologie-Obstétrique, CHR Citadelle, ULiège, Belgique.

出版信息

Rev Med Liege. 2022 Apr;77(4):202-205.

Abstract

Caesarean scar pregnancy is a rare form of ectopic pregnancy, but it is increasingly common due to the increasing number of caesarean sections and advances in medical imaging. There are two types of cesarean scar pregnancy depending on the depth of the implantation : endogenous type I and exogenous type II. In the case of a pregnancy resulting from a type II caesarean scar, the main complication is uterine rupture, which could be life-threatening for the patient. Early diagnosis and treatment are therefore essential for the woman. We report the case of a patient in early pregnancy with a history of cesarean section who presented with severe pelvic pain due to uterine rupture.

摘要

剖宫产瘢痕妊娠是一种罕见的异位妊娠形式,但由于剖宫产数量的增加和医学影像学的进步,其发生率正日益上升。根据着床深度,剖宫产瘢痕妊娠有两种类型:内生性I型和外生性II型。对于II型剖宫产瘢痕妊娠导致的妊娠,主要并发症是子宫破裂,这可能对患者生命构成威胁。因此,早期诊断和治疗对孕妇至关重要。我们报告一例有剖宫产史的早孕患者,因子宫破裂出现严重盆腔疼痛的病例。

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