罕见的孕晚期腹痛病因：子宫扭转。
Rare cause of abdominal pain in the third trimester: uterine torsion.
机构信息
Women's & Newborn Health Department, Westmead Hospital, Westmead, New South Wales, Australia
Obstetrics and Gynaecology Department, Auburn Hospital and Community Health Services, Auburn, New South Wales, Australia.
出版信息
BMJ Case Rep. 2023 Oct 9;16(10):e255325. doi: 10.1136/bcr-2023-255325.
The occurrence of uterine torsion is rare, as the uterus is supported in place by the uterine ligaments. When occurring during pregnancy, it is associated with increased perinatal mortality and maternal morbidity. We report a case of uterine torsion in a 36-week pregnant woman with a history of one previous caesarean section who presented with acute abdominal pain and signs of fetal distress. A 180 degree uterine torsion was recognised during emergency caesarean section with detorsion done prior to delivery and the baby was delivered in good condition. This case highlights the importance of prompt recognition and decision-making in managing this rare obstetric emergency to achieve a successful maternal and foetal outcome.
子宫扭转的发生率较低，因为子宫由子宫韧带固定在适当的位置。当它在怀孕期间发生时，会增加围产期死亡率和产妇发病率。我们报告了一例 36 周妊娠、有一次剖宫产史的孕妇发生子宫扭转的病例，她表现为急性腹痛和胎儿窘迫的迹象。在紧急剖宫产术中发现了 180 度的子宫扭转，在分娩前进行了复位，婴儿情况良好。本例强调了在处理这种罕见的产科急症时，及时识别和决策的重要性，以实现母婴的良好结局。
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