创伤性子宫破裂：交通事故的一种罕见并发症。

Traumatic uterine rupture: A rare complication of vehicle accidents.

作者信息

Azouz Ines, Souissi Basma, Ayadi Malek, Hakim Hana, Gassara Hichem, Talbi Skander, Mahfoudh Khaireddine Ben

机构信息

Department of Radiology, Hbib Bourguiba university hospital, Faculty of medicine of Sfax, Tunsia.

Departement of Gynecology and obstetrics, Hedi Chaker university hospital, Faculty of medicine of Sfax, Tunsia.

出版信息

Radiol Case Rep. 2024 Feb 29;19(5):1994-1997. doi: 10.1016/j.radcr.2024.02.020. eCollection 2024 May.

DOI:10.1016/j.radcr.2024.02.020

PMID:38440740

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10909957/

Abstract

The rupture of the gravid uterus is a rare complication of trauma. It is reported in less than one percent of pregnant women who are victims of road accidents. The authors report the case of a 26-year-old nulliparous patient presented with a uterine rupture resulting in fetal death at 32 weeks of gestation following a nonpenetrating abdominal trauma in a road traffic accident. An extreme emergency operation and abdominal laparotomy confirmed the imaging findings and led to conservative treatment of the uterus and a splenectomy.

摘要

妊娠子宫破裂是一种罕见的创伤并发症。在道路交通事故受害者的孕妇中，其报告发生率不到1%。作者报告了一例26岁未生育患者的病例，该患者在道路交通事故中遭受非穿透性腹部创伤后，于妊娠32周时发生子宫破裂，导致胎儿死亡。一次极紧急的手术和腹部剖腹探查证实了影像学检查结果，并导致对子宫进行保守治疗和脾切除术。