Department of Obstetrics and Gynecology, Ningbo Women and Children's Hospital, Ningbo, China.
Intensive Care Department, Ningbo Women and Children's Hospital, Ningbo, China.
J Int Med Res. 2024 Oct;52(10):3000605241281688. doi: 10.1177/03000605241281688.
Uterine rupture during pregnancy is a complication of placenta percreta. We present the case of a woman in her early 30s with a history of incomplete abortion treated by dilatation and curettage who was admitted with abdominal pain and vomiting at 30 weeks of gestation. She was diagnosed with thrombophilia and was administered anticoagulant drugs. After 10 hours of monitoring, the patient abruptly deteriorated. An emergency cesarean delivery showed a ruptured uterus due to placenta percreta. She accepted localized excision and uterine repair, and recovered well. Rupture of an unscarred uterus due to placental percreta is an extremely rare obstetric complication with high maternal and fetal mortality. This condition should be suspected in all pregnant women who have severe abdominal pain without being in labor. The treatment of uterine rupture due to placental percreta should be individualized, and repair of the uterus is possible in the majority of women.
妊娠期间子宫破裂是胎盘植入的并发症。我们报告了 1 例 30 岁出头的妇女病例，她曾因不完全流产而行扩张刮宫术治疗，因腹痛和呕吐于妊娠 30 周入院。她被诊断为血栓形成倾向，并接受了抗凝药物治疗。监测 10 小时后，患者突然恶化。紧急剖宫产显示由于胎盘植入导致子宫破裂。她接受了局部切除术和子宫修复，恢复良好。由于胎盘植入导致未瘢痕子宫破裂是一种极其罕见的产科并发症，母婴死亡率很高。对于所有有严重腹痛但未临产的孕妇，都应怀疑这种情况。胎盘植入所致子宫破裂的治疗应个体化，大多数女性都有可能进行子宫修复。
