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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Postpartum Pyomyoma, a Rare Complication of Sepsis Associated with Chorioamnionitis and Massive Postpartum Haemorrhage Treated with an Intrauterine Balloon
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Postpartum Pyomyoma, a Rare Complication of Sepsis Associated with Chorioamnionitis and Massive Postpartum Haemorrhage Treated with an Intrauterine Balloon

机译：产后脓性肌瘤，一种罕见的脓毒症合并绒毛膜羊膜炎和子宫内大球囊性产后大出血的并发症

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We report the successful treatment of a postpartum pyomyoma, a rare but serious complication of uterine leiomyomata in a 28-year-old primigravida. The patient was treated for anEscherichia Coli(E. Coli) urinary tract infection (UTI) at 16 weeks of gestation. She had asymptomatic short cervical length on ultrasound scan at 20 weeks that was managed conservatively due to the presence of further UTI and received antibiotics. She was known to have a left sided intramural leiomyoma. She presented with abdominal pain and vaginal bleeding at 23+1weeks of gestation and the next day she had spontaneous vaginal delivery and collapsed withE. Coliseptic shock, massive postpartum haemorrhage, and disseminated intravascular coagulation and was successfully treated with oxytocic drugs, a Rusch intrauterine balloon, and intravenous antibiotics. Eleven days postnatally she re-presented with systemic sepsis and was treated for retained products of conception. Sepsis persisted and investigations showed a postpartum pyomyoma that was initially managed with intravenous antibiotics to avoid surgery. Ultimately she required laparotomy, drainage of pyomyoma, and myomectomy. Postoperative recovery was good and the patient had a successful pregnancy two years later.
机译：我们报告成功治疗产后脓毒症，一种罕见的但严重的子宫平滑肌瘤在28岁的初产妇并发症。该患者在妊娠16周时接受了大肠埃希氏大肠杆菌（U. Coli）尿路感染（UTI）的治疗。她在20周的超声扫描中无症状的短颈长度，由于存在进一步的UTI并接受抗生素，因此保守治疗。已知她患有左侧壁内平滑肌瘤。妊娠23 + 1周时，她出现腹痛和阴道流血，第二天，她自然分娩，并因E虚脱。美容性休克，大量产后出血和弥散性血管内凝血，已成功应用催产药，Rusch子宫内球囊和静脉内抗生素治疗。产后十一天，她再次出现全身性败血症，并接受了保留的受孕药物治疗。脓毒症持续存在，研究表明，产后脓毒症最初是通过静脉使用抗生素治疗以避免手术。最终，她需要进行剖腹手术，脓性脓肿引流和子宫肌瘤切除术。术后恢复良好，两年后患者成功怀孕。

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