早期产后子宫切口瘢痕破裂：1 例报告。

Scar Rupture in Early Puerperium: A Case Report.

机构信息

Department of Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 May 5;60(249):491-493. doi: 10.31729/jnma.7346.

DOI:10.31729/jnma.7346

PMID:35633242

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9252228/

Abstract

UNLABELLED

Uterine scar dehiscence or rupture is a rare but potentially life-threatening complication of caesarean delivery. It is the opening of the uterine incision line that can lead to postpartum haemorrhage, pelvic hematoma, pelvic abscess, endomyometritis, generalised or localised peritonitis and sepsis. Here we report a case of a 25 years old female who presented with puerperal pyrexia. Investigations revealed uterine scar rupture with a uterovesical collection. The case was managed conservatively with intravenous antibiotics, an intracervical Foley's catheter and a gonadotropin-releasing hormone agonist.

KEYWORDS

caesarean section; case reports; postpartum; rupture; scar.

摘要

未注明

剖宫产术后子宫瘢痕破裂或破裂是一种罕见但可能危及生命的并发症。它是子宫切口线的打开，可导致产后出血、盆腔血肿、盆腔脓肿、子宫肌炎、弥漫性或局限性腹膜炎和败血症。在这里，我们报告了一例 25 岁女性，表现为产褥期发热。检查显示子宫瘢痕破裂伴有子宫膀胱积血。该病例采用静脉抗生素、宫颈 Foley 导管和促性腺激素释放激素激动剂保守治疗。