Yared Georges, Younis Ali, Al Hajj Khodor, El Hajjar Charlotte, Alakrah Wardah, Nakib Hamza, Massaad Christopher, Ghazal Kariman
Department of Obstetrics and Gynaecology, The Gilbert and Rose-Marie Chagoury School of Medicine Lebanese American University, Beirut, Lebanon.
Department of Obstetrics and Gynaecology, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
J Int Med Res. 2024 Dec;52(12):3000605241304576. doi: 10.1177/03000605241304576.
Haematometra, a rare and delayed complication, can emerge following medical termination of pregnancy, also known as 'postabortal post-caesarean syndrome' or 'redo syndrome'. Treatment requires the immediate evacuation of both liquid and clotted blood for quick resolution, followed by administration of an oxytocic agent to ensure complete recovery. This current report describes a female patient in her mid-30s who presented with colicky lower abdominal pain following a medically-induced abortion at 10 weeks. The case underscores the critical need for vigilance in detecting haematometra after abortion or caesarean delivery. Prompt recognition through symptoms and ultrasound, followed by immediate treatment, is essential to prevent severe complications such as infertility and ensure ongoing reproductive health.
子宫积血是一种罕见的延迟性并发症，可在药物流产后出现，也被称为“流产后剖宫产综合征”或“再次手术综合征”。治疗需要立即排出液体和凝血块以快速缓解症状，随后使用宫缩剂以确保完全康复。本报告描述了一名35岁左右的女性患者，她在孕10周药物流产后出现下腹部绞痛。该病例强调了在流产或剖宫产后检测子宫积血时保持警惕的迫切需要。通过症状和超声进行及时识别，随后立即治疗，对于预防诸如不孕等严重并发症并确保持续的生殖健康至关重要。
