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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence
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Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence

机译：引起子宫伤口裂开的棉疹的保守治疗

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摘要

We present a rare case with gossypiboma following cesarean section which led to uterine wound dehiscence. A 30-year-old woman had been submitted to an emergency cesarean section 4 months previously at another hospital. Clinical and ultrasound findings revealed a large intra-abdominal mass and diffuse peritonitis. At laparotomy, a gossypiboma causing an abscess and uterine wound dehiscence with necrosis of the margins was detected. We performed repetitive wound debridements under broad-spectrum antibiotic cover and eventually resutured the incision. Although hysterectomy has so far been the choice of treatment in the literature once a uterine wound dehiscence had occurred, it was possible in this case to preserve the uterus.
机译：我们提出剖宫产后发生棉疹的罕见病例，导致子宫伤口裂开。一名30岁妇女在四个月前在另一家医院接受了紧急剖宫产。临床和超声检查发现腹部大块弥漫性腹膜炎。在剖腹手术中，发现了引起脓肿的子宫棉囊瘤和子宫伤口裂开并切缘坏死。我们在广谱抗生素覆盖下进行了重复的伤口清创术，并最终恢复了切口。尽管迄今为止，子宫切除术一直是子宫伤口裂开的文献选择，但在这种情况下，有可能保留子宫。

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