Richter M A, Choudhry A, Barton J J, Merrick R E
J Reprod Med. 1983 Jun;28(6):430-2.
Severe ectopic decidual reaction of the peritoneal surface as the etiology of unexpected intraabdominal hemorrhage is rare. Such a situation occurred in one of our patients after an uneventful vaginal delivery. The bleeding was discovered during postpartum sterilization, and hysterectomy was performed to control it. Six cases reported previously presented with peripartum shock and/or an acute abdomen. Three died, all of intraabdominal hemorrhage and two of them without laparotomy. Various etiologies of this disorder have been postulated, but a consistent explanation remains to be found. Intraabdominal hemorrhage, whatever its cause, must be controlled directly at laparotomy.
腹膜表面严重的异位蜕膜反应作为意外腹腔内出血的病因较为罕见。我们的一名患者在顺产过程顺利后出现了这种情况。出血是在产后绝育手术时发现的，遂行子宫切除术以控制出血。先前报道的6例患者均出现围产期休克和/或急腹症。3例死亡，均死于腹腔内出血，其中2例未行剖腹手术。这种病症的病因有多种推测，但仍有待找到一个统一的解释。无论腹腔内出血的原因是什么，都必须在剖腹手术时直接进行控制。
