Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan.
Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan.
Taiwan J Obstet Gynecol. 2024 Sep;63(5):759-763. doi: 10.1016/j.tjog.2024.04.018.
Puerperal uterine inversion is a rare and severe complication and is associated with short cord, uncontrolled cord traction, placenta accreta, or uterine atony.
A primigravida woman gave birth a 2770 gm newborn at term at our hospital, and clinically presented postpartum hemorrhage, hypovolemic shock, postpartum preeclampsia and urinary retention. She discharged 3 days postpartum, but she complained persist vaginal bleeding and lower abdominal pain for more than 1 month. Uterine inversion was diagnosed and laparoscope surgery for reduction was done.
The non-specific clinical presentation made diagnosis of uterine inversion more difficult. Except pelvic examination, sonographic and hysteroscopic images were record in this article. Surgical intervention was performed. A fundus incision was effective for reduction and had low risk of bladder and bowel injury.
产后子宫翻转为一种罕见且严重的并发症，与脐带过短、脐带失控牵引、胎盘粘连或子宫收缩乏力有关。
一名初产妇在我院足月产下一名 2770 克的新生儿，临床诊断为产后出血、低血容量性休克、产后子痫前期和尿潴留。她产后 3 天出院，但她抱怨阴道出血和下腹痛持续超过 1 个月。诊断为子宫翻出，行腹腔镜手术复位。
非特异性临床表现使子宫翻出的诊断更加困难。除了盆腔检查外，本文还记录了超声和宫腔镜图像。手术干预有效，子宫底部切口复位效果好，膀胱和肠损伤风险低。
