Parikh Esha, Kanetkar Samira, Sheth Reena, Alexis Renee
Foundational Sciences, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Obstetrics and Gynecology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus. 2025 Jan 9;17(1):e77183. doi: 10.7759/cureus.77183. eCollection 2025 Jan.
A multiparous 37-year-old female patient (G7P3A4) with a complex obstetric history consisting of a myomectomy for uterine fibroids and a previous cesarean section (C-section) resulted in complicated intra- and postpartum events. The incidental cystotomy during the C-section was managed conservatively by catheterization. Postoperatively the patient suffered from postpartum menorrhagia and an enlarged uterus and was managed with an explorative laparotomy concluding with extensive lysis of adhesions and total abdominal hysterectomy and bilateral salpingectomy. The patient did well postoperatively and was discharged after 48 hours. She returned for an outpatient follow-up one week later and was reassured that her pain would improve within six to eight weeks. This case study details the complications and aftermath of intense intra-abdominal adhesions and calls for a better understanding of the management of adhesions for abdominal procedures.
一位37岁的经产妇（孕7产3，流产4次），有着复杂的产科病史，包括因子宫肌瘤接受过肌瘤切除术以及既往剖宫产史，这些导致了产时及产后的一系列复杂情况。剖宫产术中意外的膀胱切开术通过导尿进行了保守处理。术后患者出现产后月经过多和子宫增大，遂接受了剖腹探查术，术中进行了广泛的粘连松解、全腹子宫切除术和双侧输卵管切除术。患者术后恢复良好，48小时后出院。一周后她回来进行门诊随访，医生告知她疼痛将在六至八周内改善。本病例研究详细介绍了严重腹腔粘连的并发症及后果，并呼吁更好地理解腹部手术中粘连的处理方法。
