Delarue T, Peltier G, Pelletier P, Souplet J P
J Gynecol Obstet Biol Reprod (Paris). 1984;13(5):569-71.
The authors report the unusual case of spontaneous inversion of the uterus that occurred three days after a normal delivery. Clinically this was very well tolerated. There did not seem to be a constriction ring which normally occurs in there cases. The authors were therefore able to wait until it was quite safe to give the patient an anaesthetic. Manual replacement was easy bu inversion recurred immediately. A pack was therefore put inside the uterus, and the uterus closed down satisfactorily on it in the right position. When the pack removed under anaesthesia 48 hours later inversion did not recur.
作者报告了一例正常分娩三天后发生子宫自发性内翻的罕见病例。临床上患者对此耐受良好。似乎没有通常在这类病例中出现的缩窄环。因此,作者能够等到给患者进行麻醉相当安全的时候。手法复位很容易,但内翻立即复发。于是在子宫内放置了一个填塞物,子宫在正确位置上很好地包裹住了填塞物。48小时后在麻醉下取出填塞物时,内翻未再复发。