Swarray-Deen Alim, Oduro Nana E, Mensah Teresa A, Boateng Alex K, Ansing Caesar A, Coleman Jerry
Department of Obstetrics & Gynaecology, University of Ghana Medical School, Accra, Ghana.
Department of Obstetrics & Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana.
J Obstet Gynaecol Res. 2023 Apr;49(4):1291-1294. doi: 10.1111/jog.15562. Epub 2023 Jan 19.
Acute uterine inversion is a rare and potentially life-threatening obstetric emergency. Its occurrence as a result of a mid-trimester abortion is an even rarer consequence. We report a case of a 32-year-old woman who presented with complete acute uterine inversion and hemorrhagic shock following an incomplete medical abortion at 14 weeks of gestation. Our attempts at non-operative reversal of the inversion failed. Therefore, we resorted to the manual replacement of the uterus via laparotomy without using surgical instruments or an incision in the cervical ring. The laparotomic manual replacement served as a successful alternative with minimal immediate or long-term morbidity that may have resulted from trauma and scarring of the uterus.
急性子宫内翻是一种罕见且可能危及生命的产科急症。因孕中期流产导致子宫内翻则更为罕见。我们报告一例32岁女性病例，该患者在妊娠14周药物流产不全后出现完全性急性子宫内翻并失血性休克。我们尝试非手术复位子宫内翻失败。因此，我们通过剖腹手术在不使用手术器械且不切开宫颈环的情况下手动复位子宫。剖腹手术手动复位是一种成功的替代方法，可将子宫创伤和瘢痕形成可能导致的近期或远期发病率降至最低。
