PDF(Pubmed)
Abstract：
BACKGROUND: Uterine rupture is an obstetrical emergency associated with severe maternal and fetal mortality. It is rare in the unscarred uterus of a primipara.
METHODS: A 25-year-old woman in her 38th week of gestation presented with slight abdominal pain of sudden onset 10 hours before. An emergency cesarean section was done. After surgery, the patient and the infant survived.
METHODS: With slight abdominal pain of clinical signs, ultrasound examination showed that the amniotic sac was found in the peritoneal cavity with a rupture of the uterine fundus.
METHODS: Uterine repair and right salpingectomy.
RESULTS: After surgery, the patient and the infant survived. The newborn weighed 2600 g and had an Apgar score of 10 points per minute. Forty-two days after delivery, the uterus recovered well.
CONCLUSIONS: Spontaneous uterine rupture should be considered in patients even without acute pain, regardless of gestational age, and pregnancy with abdominal cystic mass should consider the possibility of uterine rupture.
METHODS: A 25-year-old woman in her 38th week of gestation presented with slight abdominal pain of sudden onset 10 hours before. An emergency cesarean section was done. After surgery, the patient and the infant survived.
METHODS: With slight abdominal pain of clinical signs, ultrasound examination showed that the amniotic sac was found in the peritoneal cavity with a rupture of the uterine fundus.
METHODS: Uterine repair and right salpingectomy.
RESULTS: After surgery, the patient and the infant survived. The newborn weighed 2600 g and had an Apgar score of 10 points per minute. Forty-two days after delivery, the uterus recovered well.
CONCLUSIONS: Spontaneous uterine rupture should be considered in patients even without acute pain, regardless of gestational age, and pregnancy with abdominal cystic mass should consider the possibility of uterine rupture.
摘要：
背景：子宫破裂是与严重的孕产妇和胎儿死亡率相关的产科急症。在初产妇的无疤痕子宫中很少见。
方法：一名25岁女性在妊娠38周，10小时前突然出现轻微腹痛。进行了紧急剖宫产。手术后,病人和婴儿幸存下来。
方法：有轻微腹痛的临床症状，超声检查显示，羊膜囊位于腹膜腔，子宫底破裂。
方法：子宫修复和右输卵管切除术。
结果：手术后，病人和婴儿幸存下来。新生儿体重2600克，阿普加评分为每分钟10分。交货后42天，子宫恢复得很好。
结论：即使没有急性疼痛的患者也应考虑自发性子宫破裂，不管胎龄，妊娠合并腹部囊性肿块应考虑子宫破裂的可能性。
方法：一名25岁女性在妊娠38周，10小时前突然出现轻微腹痛。进行了紧急剖宫产。手术后,病人和婴儿幸存下来。
方法：有轻微腹痛的临床症状，超声检查显示，羊膜囊位于腹膜腔，子宫底破裂。
方法：子宫修复和右输卵管切除术。
结果：手术后，病人和婴儿幸存下来。新生儿体重2600克，阿普加评分为每分钟10分。交货后42天，子宫恢复得很好。
结论：即使没有急性疼痛的患者也应考虑自发性子宫破裂，不管胎龄，妊娠合并腹部囊性肿块应考虑子宫破裂的可能性。
