常见的产科手术后的罕见并发症: 乳液栓塞治疗后的直肠血瘤, 病例报告
Anna R Ilivicky1, Shreya S Katwala1, Julie A Vircks2
1University of Missouri-Kansas City School of Medicine, Kansas City, MO (Ilivicky and Katwala).
AJOG global reports
|February 3, 2026
概括
一个罕见的直肠血瘤发生在一个孕妇的遗传羊膜切开后. 这种并发症需要对右下侧上胃动脉进行栓塞治疗.
科学领域:
- 产科和妇科 产科和妇科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 越来越多地诊断出直肠血瘤 (RSH),通常与晚年,抗凝血或创伤等危险因素有关.
- RSH是直肠内血液的集合,是一种潜在的手术紧急情况.
研究的目的:
- 报告一个独特的直肠血瘤病例,该病例是在遗传性羊膜切割后出现的.
- 为了突出侵袭性产科手术的罕见并发症.
主要方法:
- 一名怀孕的患者在怀孕201/7周时接受了遗传乳液化.
- 患者患有扩张直肠血瘤,由慢性阻塞性肺部疾病加剧.
- 进行了干预性放射学程序,包括右下侧上胃动脉的栓塞和卷曲.
主要成果:
- 一个扩张的直肠膜膜血瘤在经过阴道膜切开后发展.
- 患者经历了恶化的疼痛,需要动脉栓塞.
- 长时间的康复与大血瘤有关,并且由于感染的担忧,给予了抗生素.
结论:
- 直肠血瘤是一种罕见但严重的并发症,可能发生在遗传性羊膜切割后.
- 及时诊断和干预管理,如动脉栓塞,对于成功的结果至关重要.
- 这一案例强调了在怀孕患者出现术后腹部疼痛时考虑RSH的重要性.
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