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Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report

机译:妊娠中期流产后尿retention留掩盖的子宫破裂:一例报告

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Background Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock. Case presentation We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepristone and misoprostol. Uterine rupture was discovered unexpectedly on diagnostic laparoscopy. The uterine rupture was contained by dense adhesions between the omentum and bladder with the previous uterine cesarean hysterotomy scar. Conclusion This case highlights the difficulties in diagnosis of abnormal placentation and an unusual presentation of uterine rupture. This case was managed successfully laparoscopically.
机译:背景技术子宫破裂通常表现为严重的腹痛,胎位丧失,阴道流血和休克。病例介绍我们介绍了一个子宫破裂病例,其表现为米非司酮和米索前列醇引起的妊娠中期流产后发生的明显尿retention留。在诊断性腹腔镜检查中意外发现子宫破裂。子宫破裂是由大网膜和膀胱之间的紧密粘连以及先前的子宫剖宫产子宫切开术瘢痕引起的。结论该病例突出了诊断胎盘异常和子宫破裂的异常表现的困难。该病例已成功腹腔镜治疗。

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