Funcken E A, Koch W, Leimkühler W
Geburtshilfe Frauenheilkd. 1977 Aug;37(8):715-7.
A 38 year old gravida 3, para 3, was delivered by Caesarean Section because of acute gastro-intestinal bleeding and a duodenal ulcer was treated by hemostatic sutures at the same time. An elective gastrectomy was performed twelve months later. Severe gastro-intestinal hemorrhage during labour and delivery is rare. There are no hard rules for the timing of early diagnostic localization and identification of the source of the bleeding and for the choice of timing of a surgical procedure. This problem is more difficult when the source of the bleedings is rare and diagnostic and therapeutic procedures are hampered by concomitant conditions such as the overriding considerations for the maternal and fetal welfare in our case.
一名38岁经产妇，孕3产3，因急性胃肠道出血行剖宫产术，同时对十二指肠溃疡进行了止血缝合。十二个月后进行了择期胃切除术。分娩期间严重的胃肠道出血很少见。对于早期诊断性定位、确定出血来源以及选择手术时机，没有硬性规定。当出血来源罕见且诊断和治疗程序因伴随情况（如本例中对母婴健康的首要考虑）而受到阻碍时，这个问题就更加棘手。
