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妊娠早期子宫破裂1例罕见病例报告并文献复习

A rare case of uterine rupture in the first trimester of pregnancy: Case report and review of literature.

作者信息

Faraj Chaymae, Chait Fatima, Elharras Yahya, Allali Nazik, El Haddad Siham, Chat Latifa

机构信息

Pediatric and Gynecology Radiology Department, Children's Hospital, Mohammed V University, Rabat, Morocco.

出版信息

Radiol Case Rep. 2024 Mar 14;19(6):2202-2205. doi: 10.1016/j.radcr.2024.02.055. eCollection 2024 Jun.

DOI:10.1016/j.radcr.2024.02.055
PMID:38515767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10955100/
Abstract

Uterine rupture is a serious and potentially life-threatening complication. It is commonly a complication that happens in the third trimester of pregnancy. Its occurrence in early pregnancy is very rare. We report a case of a patient who presented with uterine rupture on a scarred uterus during the termination of pregnancy with misoprostol at 10 weeks' amenorrhea. In this case, we discuss the clinical warning signs, risk factors, and diagnostic methodology, and compare our approach with the literature.

摘要

子宫破裂是一种严重且可能危及生命的并发症。它通常是妊娠晚期出现的一种并发症。在妊娠早期发生极为罕见。我们报告一例患者，在停经10周使用米索前列醇终止妊娠时，瘢痕子宫发生了子宫破裂。在此病例中，我们讨论了临床警示信号、危险因素和诊断方法，并将我们的处理方法与文献进行比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573c/10955100/7c8644cfc0e4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573c/10955100/3efc729c764b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573c/10955100/7c8644cfc0e4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573c/10955100/3efc729c764b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573c/10955100/7c8644cfc0e4/gr2.jpg

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A rare case of uterine rupture in the first trimester of pregnancy: Case report and review of literature.妊娠早期子宫破裂1例罕见病例报告并文献复习
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2
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引用本文的文献

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A cesarean section scar dehiscence during the first trimester of an intrauterine pregnancy: a rare case report and literature review.宫内妊娠早期剖宫产瘢痕裂开：1例罕见病例报告及文献复习
J Surg Case Rep. 2024 Jun 21;2024(6):rjae422. doi: 10.1093/jscr/rjae422. eCollection 2024 Jun.

本文引用的文献

1
Imaging evaluation of uterine perforation and rupture.子宫穿孔和破裂的影像学评估。
Abdom Radiol (NY). 2021 Oct;46(10):4946-4966. doi: 10.1007/s00261-021-03171-z. Epub 2021 Jun 15.
2
First Trimester Uterine Rupture, a Rare but Life-Threatening Event: A Case Report.孕早期子宫破裂，一种罕见但危及生命的事件：病例报告
Iran J Med Sci. 2019 Sep;44(5):422-426. doi: 10.30476/IJMS.2019.44948.
3
Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO Multicountry Survey on Maternal and Newborn Health.
有剖宫产史的妇女中子宫破裂的发生率和结局：世卫组织孕产妇和新生儿健康多国调查。
Sci Rep. 2017 Mar 10;7:44093. doi: 10.1038/srep44093.
4
Sonographic and magnetic resonance imaging findings of pelvic abscess following uterine perforation sustained during office endometrial sampling.门诊子宫内膜取样时发生子宫穿孔后盆腔脓肿的超声及磁共振成像表现
J Clin Ultrasound. 2011 Jun;39(5):283-6. doi: 10.1002/jcu.20770. Epub 2010 Dec 28.
5
Obstetric uterine rupture of the unscarred uterus: a twenty-year clinical analysis.非瘢痕子宫的产科子宫破裂：二十年临床分析
Gynecol Obstet Invest. 2006;62(3):131-5. doi: 10.1159/000093031. Epub 2006 May 2.
6
Oral misoprostol and uterine rupture in the first trimester of pregnancy: a case report.
Reprod Toxicol. 2005 Nov-Dec;20(4):575-7. doi: 10.1016/j.reprotox.2005.04.014. Epub 2005 Jun 27.
7
Uterine rupture: risk factors and pregnancy outcome.子宫破裂：危险因素与妊娠结局
Am J Obstet Gynecol. 2003 Oct;189(4):1042-6. doi: 10.1067/s0002-9378(03)01052-4.
8
Uterine rupture during second trimester termination of pregnancy using mifepristone and a prostaglandin.孕中期使用米非司酮和前列腺素终止妊娠时发生子宫破裂
Eur J Obstet Gynecol Reprod Biol. 1996 Apr;65(2):175-6. doi: 10.1016/0301-2115(95)02365-8.