tailieunhanh - báo cáo khoa học: " Intestinal adhesion due to previous uterine surgery as a risk factor for delayed diagnosis of uterine rupture: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Intestinal adhesion due to previous uterine surgery as a risk factor for delayed diagnosis of uterine rupture: a case report | Kuwata et al. Journal of Medical Case Reports 2011 5 523 http content 5 1 523 JOURNALOF medical case reports CASE REPORT Open Access Intestinal adhesion due to previous uterine surgery as a risk factor for delayed diagnosis of uterine rupture a case report 1 3 Tomoyuki Kuwata Shigeki Matsubara Rie Usui Shin-ichiro Uchida Naohiro Sata and Mitsuaki Suzuki Abstract Introduction Uterine rupture is a life-threatening condition both to mothers and fetuses. Its early diagnosis and treatment may save their lives. Previous myomectomy is a high risk factor for uterine rupture. Intestinal adhesion due to previous myomectomy may also prevent early diagnosis of uterine rupture. Case presentation A 38-year-old primiparous non-laboring Japanese woman with a history of myomectomy was admitted in her 34th week due to lower abdominal pain. Although the pain was slight and her vital signs were stable computed tomography revealed massive fluid collection in her abdominal cavity which led us to perform a laparotomy. Uterine rupture had occurred at the site of the previous myomectomy however the small intestine was adhered tightly to the rupture thus masking it. The baby was delivered through a low uterine segment transverse incision. The ruptured uterine wall was reconstructed. Conclusion Intestinal adhesion due to a prior myomectomy occluded a uterine rupture possibly masking its symptoms and signs which may have prevented early diagnosis. Introduction Uterine rupture is a life-threatening condition both to mothers and fetuses 1 . Early diagnosis of uterine rupture and awareness of its risk factors are clinically important. Previous uterine surgery such as Cesarean section myomectomy or adenomyomectomy is a risk factor 2-4 . Here we report a prelabor uterine rupture at a previous myoma enucleation site in which intestinal adhesion to the ruptured site occluded the rupture possibly preventing early diagnosis. Case presentation A 38-year-old .