以消化道穿孔为临床表现的子宫穿孔1例报道
Uterine Perforation of Pyometra Presenting as Gastrointestinal Perforation: A Case Report

作者: 尹万斌 , 赵晓堂 , 张茂申 , 卢 云 :青岛大学医学院附属医院黄岛院区普外科,山东 青岛;

关键词: 消化道穿孔误诊子宫穿孔Gastrointestinal Perforation Misdiagnosis Perforated Pyometra

摘要:
消化道穿孔是外科常见的急腹症。宫腔积脓并自发性子宫穿孔临床上罕见,并且有腹腔游离气体。其症状、体征和辅助检查都与消化道穿孔和其他急腹症相似。宫腔积脓并自发性子宫穿孔病死率超过40%。因此,老年女性的外科急腹症,应该想到宫腔积脓并自发性子宫穿孔的可能性。

Abstract: Gastrointestinal perforation is a common acute abdomen. Spontaneous perforated pyometra is a rare condition with free intra-peritoneal air. The clinical findings of perforated pyometra are similar to perforation of the gastrointestinal tract and other causes of acute abdomen. Mortality from spontaneous perforated pyometra exceeds 40%. Therefore, Spontaneous rupture of pyometra in cases of acute abdomen in elderly female patients should be considered.

文章引用: 尹万斌 , 赵晓堂 , 张茂申 , 卢 云 (2015) 以消化道穿孔为临床表现的子宫穿孔1例报道。 外科, 4, 26-28. doi: 10.12677/HJS.2015.43005

参考文献

[1] Lim, S.F., Lee, S.L., Chiow, A.K., et al. (2012) Rare cause of acute surgical abdomen with free intraperitoneal air: Spontaneous perforated pyometra. A report of 2 cases. The American Journal of Case Reports, 13, 55-57.

[2] Liang, H.H., Wei, P.L., Liu, W.M., et al. (2013) Free air in the abdomen. The Journal of Emergency Medicine, 44, e93-e94.

[3] Chen, P.H., Sien, L.H., Lee, S.L., et al. (2011) Pneumoperitoneum caused by perforation of pyometra associated with a lost intrauterine device and perforated malignancy of the sigmoid colon. Taiwan Journal of obstetrics & Gynecology, 50, 124-125.

[4] Shapey, I.M., Nasser, T., Dickens, P., et al. (2012) Spontaneously perforated pyometra: An unusual cause of acute abdomen and pneumoperitoneum. Annals of the Royal College of Surgeons of England, 94, e246-e248.

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