Cenac Leshae A, Cacciotti Maria, Griffith Tracy
Department of Obstetrics and Gynecology, Mercy St. Vincent Medical Center, Toledo, OH, 43608, USA.
J Surg Case Rep. 2024 Feb 22;2024(2):rjae081. doi: 10.1093/jscr/rjae081. eCollection 2024 Feb.
Uterine rupture following trauma in pregnancy is rare, especially in earlier gestational ages. The diagnosis can be challenging, and treatment may be delayed when patients present with nonspecific findings. Therefore, a high index of suspicion must be maintained. Once diagnosed, the treatment involves surgical exploration. We present a case report of a first-trimester uterine rupture of a twin pregnancy following a motor vehicle collision in a patient with prior cesarean sections.
孕期创伤后子宫破裂很少见,尤其是在孕早期。诊断可能具有挑战性,当患者出现非特异性表现时,治疗可能会延迟。因此,必须保持高度的怀疑指数。一旦确诊,治疗包括手术探查。我们报告一例有剖宫产史的患者在机动车碰撞后双胎妊娠孕早期子宫破裂的病例。