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子宫侧壁破裂的罕见独特病例报告及其文献复习

A Rare and Unique Case Report of Lateral Uterine Wall Rupture and Its Review.

作者信息

Agarwal Mukta, Singh Smita, Sinha Shivangni

机构信息

Obstetrics and Gynaecology, All India Institute of Medical Sciences, Patna, IND.

Obstetrics and Gynecology, All India Institute of Medical Sciences, Patna, IND.

出版信息

Cureus. 2023 May 8;15(5):e38695. doi: 10.7759/cureus.38695. eCollection 2023 May.

Abstract

Rupture of the uterus is a deadly obstetric complication. Its occurrence is uncommon and much less common in the second trimester. Given that the mother and fetus are in danger, it is a catastrophe for both. The incidence has increased in recent years as the cesarean section rate has increased, but in developing nations, multiparity and the inappropriate use of uterotonics are more common. This potentially disastrous event may have a vague initial presentation. Here forth, we present a case with solitary right lateral wall uterine rupture covering the entire length of the uterus, the fetus and placenta enclosed in between the broad ligament leaves, most likely due to injudicious misoprostol use at a private health care center superimposed on multiparity, and a literature review. As far as we know, this is the first instance of an isolated right lateral uterine wall rupture sparing the lower segment and, with the fetus trapped between the broad ligaments simulating abdominal pregnancy.

摘要

子宫破裂是一种致命的产科并发症。其发生率并不常见,在孕中期更为罕见。鉴于母婴均处于危险之中,这对双方来说都是一场灾难。近年来,随着剖宫产率的上升,其发生率有所增加,但在发展中国家,多胎妊娠和子宫收缩剂使用不当更为常见。这一潜在的灾难性事件最初表现可能较为模糊。在此,我们呈现一例子宫右侧壁孤立性破裂,破裂贯穿子宫全长,胎儿和胎盘被包裹在阔韧带叶之间的病例,最可能的原因是在一家私人医疗中心因多胎妊娠而不当使用米索前列醇,并进行文献综述。据我们所知,这是首例孤立的右侧子宫壁破裂,未累及子宫下段,且胎儿被困于阔韧带之间,类似腹腔妊娠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0939/10245196/a84ce4e19903/cureus-0015-00000038695-i01.jpg

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