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摩洛哥首例秘密堕胎后子宫穿孔和肠管嵌顿病例报告

First case report of uterine perforation and bowel incarceration following a clandestine abortion in Morocco.

作者信息

Deflaoui Tarik, Jabi Rachid, Derkaoui Anas, Merhoum Abdelali, Kradi Yassin, Bouziane Mohammed

机构信息

Department of General Surgery, Mohammed VI University Hospital, Oujda, Morocco.

Laboratory of Anatomy, Microsurgery and Surgery Experimental and Medical Simulation (LAMCESM), Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.

出版信息

J Surg Case Rep. 2022 May 31;2022(5):rjac235. doi: 10.1093/jscr/rjac235. eCollection 2022 May.

Abstract

Uterine perforation is a rare complication of abortion. It becomes much rarer when associated with a small bowel incarceration at the uterine breach. Its diagnosis can be suspected clinically, but radiology remains more sensitive for diagnosis. Surgery is the cornerstone in treating this entity as it provides both diagnostic and therapeutic management. A multidisciplinary therapeutic approach should be immediately performed to ensure a good prognosis. In this report, we describe a case of small intestine incarceration in the breach of a uterine perforation that occurred in the weeks following a clandestine abortion.

摘要

子宫穿孔是流产的一种罕见并发症。当与子宫破裂处的小肠嵌顿相关联时,这种情况就更为罕见。临床上可怀疑其诊断,但放射学检查对诊断更为敏感。手术是治疗该病症的基石,因为它能提供诊断和治疗管理。应立即采取多学科治疗方法以确保良好预后。在本报告中,我们描述了一例在非法堕胎数周后发生的子宫穿孔破裂处小肠嵌顿病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9777/9156008/79bdc4f15e12/rjac235f1.jpg

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