Gilles Bernard, Robergeau Fridjof G S, Massena Larry M, Nazaire Maky-Kenson, Millien Christophe
Department of Obstetrics and Gynecology, Mirebalais Teaching Hospital, Mirebalais, Center, Haiti.
AJOG Glob Rep. 2023 Sep 24;3(4):100270. doi: 10.1016/j.xagr.2023.100270. eCollection 2023 Nov.
Amniocele is a rare condition involving herniation of the amniotic sac through a uterine breach. Our case is of a 29-year-old pregnant woman at 31 weeks of pregnancy who presented to the maternity triage of the Mirebalais Teaching Hospital for abdominal pain and the passage of blood through the vagina. After an ultrasonographic evaluation, the diagnosis of amniocele was made. In practice, for a third-trimester, nonlaboring pregnant woman with this symptomatology, the most common diagnoses that come to mind are placenta previa and placental abruption. This case highlights that a diagnosis of silent uterine rupture should also be kept in mind knowing that a uterine rupture is a life-threatening event for both the mother and the fetus, therefore, early diagnosis is very important to improve the maternal-fetal prognosis.
羊膜膨出是一种罕见的情况，涉及羊膜囊通过子宫破裂处疝出。我们的病例是一名29岁、怀孕31周的孕妇，她因腹痛和阴道流血到米雷巴莱教学医院的产科分诊处就诊。经过超声评估，诊断为羊膜膨出。实际上，对于有这种症状的孕晚期未临产孕妇，最常想到的诊断是前置胎盘和胎盘早剥。该病例强调，鉴于子宫破裂对母亲和胎儿都是危及生命的事件，因此早期诊断对于改善母婴预后非常重要，所以也应考虑隐匿性子宫破裂的诊断。
