PDF(Pubmed)
Abstract：
Uterine rupture is a rare but critical obstetric complication that demands a swift and decisive intervention to ensure the well-being of the mother and fetus. We present a case report detailing the surgical management of a bizarre uterine rupture in a multigravida female with two previous vaginal deliveries and a previously unscarred uterus. This case highlights the challenges of treating and diagnosing, particularly in the Indian setting, an antenatally unregistered patient with rare obstetrical complications. Emphasizing the clinical challenges faced and the multidisciplinary approach employed for optimal outcomes, this report underscores the importance of a high degree of suspicion, early diagnosis, timely intervention, and comprehensive intraoperative and postoperative care in addressing this rare obstetric catastrophic event. This article\'s main focus is multicentric, aiming to showcase the obstacles to maintaining low maternal mortality and morbidity, the presence of inadequate awareness in society, and the importance of multimodal treatment and planning.
摘要：
子宫破裂是一种罕见但严重的产科并发症，需要迅速果断的干预以确保母亲和胎儿的健康。我们提供了一个病例报告，详细介绍了多胎女性的奇异子宫破裂的手术治疗，该女性先前有两次阴道分娩和先前无疤痕的子宫。这个案例凸显了治疗和诊断的挑战，尤其是在印度环境中，产前未登记的罕见产科并发症患者。强调所面临的临床挑战和采用多学科方法获得最佳结果，这份报告强调了高度怀疑的重要性，早期诊断,及时干预,以及全面的术中和术后护理，以解决这一罕见的产科灾难性事件。本文的主要关注点是多中心，旨在展示维持低孕产妇死亡率和发病率的障碍，社会意识不足的存在，以及多模式治疗和规划的重要性。
