PDF(Pubmed)
Abstract：
Uterine rupture is a rare life-threatening complication. It can occur in all 3 trimesters with the first and the second being a rarity. It mainly occurs in the third trimester or during labor in a previously scarred uterus. It is rare in an unscarred uterus. The risk fold is further enhanced by the induction and augmentation with prostaglandins and oxytocin. The clinical diagnosis at this early gestation can be a dilemma to the attending physician as in this case. (1) The patient was a holidaymaker with no documented evidence of a dating scan to suggest any evidence of an ovarian/placental pathology at that stage. (2) The ultrasound findings in our department did suggest a viable intrauterine pregnancy with free fluid within both the adnexa. A 6 cm solid homogenous mass in the midline/right adnexa suggested an ovarian torsion or bowel pathology. The differentials in this particular case were that of a ruptured hemorrhagic cyst, ovarian torsion and even a heterotrophic pregnancy as there had been a few documented cases in the department. Ultrasound diagnosis of an intrauterine pregnancy together with a fluid collection does not suggest by any means that the uterus is intact or there is no ectopic pregnancy.
摘要：
子宫破裂是一种罕见的危及生命的并发症。它可以发生在所有三个三个月，第一个和第二个是罕见的。它主要发生在妊娠晚期或在先前瘢痕子宫分娩期间。在无疤痕的子宫中很少见。通过前列腺素和催产素的诱导和增强，风险倍数进一步增强。在这种情况下，这种早期妊娠的临床诊断对于主治医师来说可能是一个难题。（1）患者是度假者，没有记录的约会扫描证据表明该阶段卵巢/胎盘病理的任何证据。（2）我们部门的超声发现确实表明子宫内妊娠可行，两个附件内都有游离液。中线/右附件中有6厘米的固体均匀肿块，提示卵巢扭转或肠病理学。这种特殊情况下的差异是出血性囊肿破裂，卵巢扭转，甚至是异养妊娠，因为该部门有一些文献报道。宫内妊娠和液体收集的超声诊断并不能通过任何方式表明子宫是完整的或没有异位妊娠。
