Shaffer J O
Department of Surgery, Doctors Hospital, San Leandro, California.
Am Surg. 1975 Jan;41(1):45-7.
A massive intrauterine fecal impaction with gangrene and uterine rupture occurred in an 80-year-old woman from a ruptured diverticulitis of the colon which penetrated into the fundus of the uterus. Cicatricial stenosis of the cervix and distensibility of the fundus together with stool discharging into the uterus caused a sequence of events similar to that of appendicitis. The patient recovered after hysterectomy, peritoneal flap closure of the low pelvic colon fistula site, and sigmoid colostomy.
一名80岁女性因结肠憩室炎破裂穿透子宫底部，发生了巨大的宫内粪块嵌塞伴坏疽和子宫破裂。宫颈瘢痕性狭窄、子宫底部扩张性以及粪便排入子宫导致了一系列类似阑尾炎的事件。患者在接受子宫切除、低位盆腔结肠瘘口腹膜瓣关闭和乙状结肠造口术后康复。
