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一例子宫无瘢痕子宫破裂的凶险病例及其后续处理

An Ominous Case of Uterine Rupture in an Unscarred Womb and Its Subsequent Management.

作者信息

Sattiraju Krishna Sailaja, Patvekar Meenal, Kolate Dipak

机构信息

Obstetrics and Gynaecology, Dr. Dy Patil Medical College, Hospital and Research Centre, Pune, IND.

出版信息

Cureus. 2024 Mar 30;16(3):e57273. doi: 10.7759/cureus.57273. eCollection 2024 Mar.

Abstract

Uterine rupture is a rare but critical obstetric complication that demands a swift and decisive intervention to ensure the well-being of the mother and fetus. We present a case report detailing the surgical management of a bizarre uterine rupture in a multigravida female with two previous vaginal deliveries and a previously unscarred uterus. This case highlights the challenges of treating and diagnosing, particularly in the Indian setting, an antenatally unregistered patient with rare obstetrical complications. Emphasizing the clinical challenges faced and the multidisciplinary approach employed for optimal outcomes, this report underscores the importance of a high degree of suspicion, early diagnosis, timely intervention, and comprehensive intraoperative and postoperative care in addressing this rare obstetric catastrophic event. This article's main focus is multicentric, aiming to showcase the obstacles to maintaining low maternal mortality and morbidity, the presence of inadequate awareness in society, and the importance of multimodal treatment and planning.

摘要

子宫破裂是一种罕见但严重的产科并发症,需要迅速而果断的干预措施以确保母婴安全。我们报告一例病例,详细介绍了一名经产妇的奇异子宫破裂的手术处理情况,该产妇既往有两次阴道分娩史,子宫此前无瘢痕。该病例凸显了治疗和诊断方面的挑战,尤其是在印度,对于一名产前未登记且患有罕见产科并发症的患者而言。本报告强调了所面临的临床挑战以及为实现最佳治疗效果所采用的多学科方法,突显了高度怀疑、早期诊断、及时干预以及全面的术中及术后护理在应对这一罕见产科灾难性事件中的重要性。本文的主要重点是多中心的,旨在展示维持低孕产妇死亡率和发病率所面临的障碍、社会意识不足的现状以及多模式治疗和规划的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ca/11057682/f83c40f141d5/cureus-0016-00000057273-i01.jpg

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