PDF(Pubmed)
Abstract：
UNASSIGNED: Primary rupture of an unscarred uterus is rare. Spontaneous rupture of an unscarred bicornuate uterus is a life-threatening obstetric emergency with high morbidity and mortality in the mother and fetus; however, it most commonly occurs in the first trimester of pregnancy.
UNASSIGNED: A 20-year-old primigravid woman at 22 weeks of gestation, with no prior surgery, presented with severe abdominal pain, anemia, and hemodynamic instability. With a preoperative diagnosis of uterine rupture, she was transfused with three units of cross-matched whole blood and underwent emergency laparotomy. Intraoperative findings showed a ruptured bicornuate uterus and a dead fetus in the abdomen with huge hemoperitoneum. Postoperative recovery was smooth, and the patient was discharged after being counselled on family planning and subsequent pregnancy.
UNASSIGNED: A bicornuate uterus may be an independent risk factor for uterine rupture, which can occur in primigravid women at any stage of pregnancy. Each obstetrician should have a high index of suspicion for a rare condition like ruptured bicornuate uterus, especially for a pregnant woman presenting with acute abdominal pain and hemodynamic instability. Early ultrasonography plays a key role in the evaluation, follow-up, and management of these patients.
UNASSIGNED: A 20-year-old primigravid woman at 22 weeks of gestation, with no prior surgery, presented with severe abdominal pain, anemia, and hemodynamic instability. With a preoperative diagnosis of uterine rupture, she was transfused with three units of cross-matched whole blood and underwent emergency laparotomy. Intraoperative findings showed a ruptured bicornuate uterus and a dead fetus in the abdomen with huge hemoperitoneum. Postoperative recovery was smooth, and the patient was discharged after being counselled on family planning and subsequent pregnancy.
UNASSIGNED: A bicornuate uterus may be an independent risk factor for uterine rupture, which can occur in primigravid women at any stage of pregnancy. Each obstetrician should have a high index of suspicion for a rare condition like ruptured bicornuate uterus, especially for a pregnant woman presenting with acute abdominal pain and hemodynamic instability. Early ultrasonography plays a key role in the evaluation, follow-up, and management of these patients.
摘要：
■无疤痕子宫的原发性破裂是罕见的。无疤痕的双角子宫自发性破裂是一种危及生命的产科急症，母亲和胎儿的发病率和死亡率都很高；然而，它最常见于怀孕的头三个月。
■一名20岁的初产妇在妊娠22周，之前没有手术,出现严重的腹痛，贫血,和血流动力学不稳定。术前诊断为子宫破裂，她被输入了3个单位的交叉匹配的全血,并接受了紧急剖腹手术.术中发现双角子宫破裂，腹部胎儿死亡，腹膜积血巨大。术后恢复顺利，患者在接受计划生育和随后怀孕的咨询后出院。
■双角子宫可能是子宫破裂的独立危险因素，这可能发生在初产妇在怀孕的任何阶段。每个产科医生都应该高度怀疑罕见的疾病，如双角子宫破裂，尤其是对于出现急性腹痛和血流动力学不稳定的孕妇。早期超声在评估中起着关键作用，后续行动,以及对这些患者的管理。
■一名20岁的初产妇在妊娠22周，之前没有手术,出现严重的腹痛，贫血,和血流动力学不稳定。术前诊断为子宫破裂，她被输入了3个单位的交叉匹配的全血,并接受了紧急剖腹手术.术中发现双角子宫破裂，腹部胎儿死亡，腹膜积血巨大。术后恢复顺利，患者在接受计划生育和随后怀孕的咨询后出院。
■双角子宫可能是子宫破裂的独立危险因素，这可能发生在初产妇在怀孕的任何阶段。每个产科医生都应该高度怀疑罕见的疾病，如双角子宫破裂，尤其是对于出现急性腹痛和血流动力学不稳定的孕妇。早期超声在评估中起着关键作用，后续行动,以及对这些患者的管理。
