经阴道放置球囊以释放嵌顿妊娠子宫。
Incarcerated Gravid Uterus Liberated by Placement of a Vaginal Balloon.
机构信息
Department of Obstetrics and Gynecology and the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania; and the Department of Obstetrics and Gynecology, Saint Peter's University Hospital/Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
出版信息
Obstet Gynecol. 2022 Nov 1;140(5):898-900. doi: 10.1097/AOG.0000000000004964. Epub 2022 Oct 5.
BACKGROUND
Incarceration of the gravid uterus is an infrequent obstetric complication that can cause severe complications.
CASE
A 37-year-old woman, G3P2002, at 14 weeks of gestation presented with vomiting, back pain, and urinary retention. She was noted to be in acute renal failure, with a creatinine level of 9.24 mg/dL, and results of her physical examination were concerning for uterine incarceration. Passive maneuvers and manual pressure failed to resolve the incarceration. Under spinal anesthesia, a Bakri balloon was inflated in the posterior vagina, elevating the fundus and relieving the incarcerated uterus.
CONCLUSION
An intravaginal balloon may aid in the alleviation of uterine incarceration.
背景
妊娠子宫嵌顿是一种罕见的产科并发症，可导致严重的并发症。
病例
一名 37 岁的妇女，G3P2002，妊娠 14 周，出现呕吐、背痛和尿潴留。她被诊断为急性肾衰竭，肌酐水平为 9.24mg/dL，体格检查结果提示子宫嵌顿。被动手法和手法按压未能解决嵌顿。在脊髓麻醉下，在后阴道中充气 Bakri 球囊，抬高子宫底并缓解子宫嵌顿。
结论
阴道内球囊可能有助于缓解子宫嵌顿。
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