一例复杂型子宫卒中病例报告。

Report of a Complicated Case of Couvelaire Uterus.

作者信息

Parsapour Hamideh, Shafie Neda, Salehi Amir Mohammad, Assareh Zeinab

机构信息

Clinical Research Development Unit of Fatemieh Hospital, Department of Gynecology, Hamadan University of Medical Sciences, Hamadan, Iran.

Student Research Committee, Hamadan University of Medical Sciences, School of Medicine, Hamadan, Iran.

出版信息

Case Rep Med. 2023 Jun 27;2023:6668328. doi: 10.1155/2023/6668328. eCollection 2023.

DOI:10.1155/2023/6668328

PMID:37408702

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10319456/

Abstract

Couvelaire uterus (CU) is a rare complication in the life-threatening placental abruption (PA) that consists of a state of blood infiltration of the uterine myometrium and serosa. The incidence is around 1% and the treatment of choice is obstetric hysterectomy, however, in some cases, close monitoring and timely decision-making can prevent hysterectomy. Herein, we present a rare and serious case of CU with uterus preservation in a young multiparous with a high-risk pregnancy.

摘要

库弗莱尔子宫（CU）是危及生命的胎盘早剥（PA）中的一种罕见并发症，其特征为血液浸润子宫肌层和浆膜层。发病率约为1%，治疗的首选方法是产科子宫切除术，然而，在某些情况下，密切监测和及时决策可避免子宫切除术。在此，我们报告一例罕见且严重的库弗莱尔子宫病例，该患者为高危妊娠的年轻经产妇，成功保留了子宫。