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大网膜在延迟性阴道断端裂开中模拟阴道脱垂。

Omentum Mimicking as a Vaginal Prolapse in a Delayed Vaginal Cuff Dehiscence.

作者信息

Gupta Kanika, Mangla Vivek, Arora Sanjeev, Anand Gautam, Bidhuri Shubham

机构信息

Gynecologic Oncology, Max Healthcare, New Delhi, IND.

Gastrointestinal Surgery, Max Healthcare, New Delhi, IND.

出版信息

Cureus. 2023 Dec 17;15(12):e50647. doi: 10.7759/cureus.50647. eCollection 2023 Dec.

DOI:10.7759/cureus.50647
PMID:38229814
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10790153/
Abstract

A rare consequence of hysterectomy is vaginal vault dehiscence, which commonly occurs five to seven weeks after the procedure. Its frequency ranges from 0% to 7.5%. The incidence of delayed dehiscence is rare. The small bowel is the organ that prolapses most frequently, but other organs and multi-organ prolapses have also been documented. Due to potential catastrophes such as intestinal ischemia, blockage, and perforation, transvaginal protrusion of abdominal viscera is an emergency. A laparoscopic approach facilitates a thorough evaluation of the abdominal contents and provides assistance in challenging circumstances where the contents are not reducible.

摘要

子宫切除术后一种罕见的后果是阴道穹窿裂开,通常发生在术后五至七周。其发生率在0%至7.5%之间。延迟裂开的发生率很罕见。小肠是最常发生脱垂的器官,但也有其他器官和多器官脱垂的记录。由于存在肠道缺血、梗阻和穿孔等潜在严重情况,腹腔脏器经阴道突出是一种紧急情况。腹腔镜手术方法有助于全面评估腹腔内容物,并在内容物无法回纳的具有挑战性的情况下提供帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4234/10790153/8946c3c77d68/cureus-0015-00000050647-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4234/10790153/49dfc1a0a161/cureus-0015-00000050647-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4234/10790153/90a19f5d0fb6/cureus-0015-00000050647-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4234/10790153/8946c3c77d68/cureus-0015-00000050647-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4234/10790153/49dfc1a0a161/cureus-0015-00000050647-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4234/10790153/90a19f5d0fb6/cureus-0015-00000050647-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4234/10790153/8946c3c77d68/cureus-0015-00000050647-i03.jpg

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本文引用的文献

1
Omental Prolapse Through Vaginal Cuff Dehiscence.网膜经阴道断端裂开处脱垂
Clin Pract Cases Emerg Med. 2022 Aug;6(3):262-263. doi: 10.5811/cpcem.2022.2.56353.
2
Spontaneous vaginal cuff dehiscence and evisceration of multiple organs: A case report.自发性阴道断端裂开并多器官脱出:一例报告
Medicine (Baltimore). 2018 Dec;97(50):e13670. doi: 10.1097/MD.0000000000013670.
3
Laparoscopic Repair of Vaginal Evisceration after Abdominal Hysterectomy for Uterine Corpus Cancer: A Case Report and Literature Review.子宫体癌腹式子宫切除术后阴道脏器膨出的腹腔镜修复:一例报告及文献综述
J Nippon Med Sch. 2017;84(2):90-95. doi: 10.1272/jnms.84.90.
4
Vaginal cuff dehiscence and evisceration: a review of the literature.阴道残端裂开与脏器脱出:文献综述
Curr Opin Obstet Gynecol. 2016 Aug;28(4):297-303. doi: 10.1097/GCO.0000000000000294.
5
Delayed Presentation of Vaginal Cuff Dehiscence after Robotic Hysterectomy for Gynecologic Cancer: A Case Series and Review of the Literature.妇科癌症机器人子宫切除术后阴道残端裂开的延迟表现:病例系列及文献综述
Case Rep Obstet Gynecol. 2016;2016:5296536. doi: 10.1155/2016/5296536. Epub 2016 Mar 27.
6
Complications of hysterectomy.子宫切除术的并发症。
Obstet Gynecol. 2013 Mar;121(3):654-673. doi: 10.1097/AOG.0b013e3182841594.
7
Incarcerated vaginal herniation of the omentum mimicking vaginal prolapse.
Am J Obstet Gynecol. 2007 Mar;196(3):e7-8. doi: 10.1016/j.ajog.2006.11.030.