与子宫动静脉畸形相关的产妇死亡

Q3 Medicine Revista Espanola de Medicina Legal Pub Date : 2023-01-01 DOI:10.1016/j.reml.2022.05.001

Rebeca Jiménez Herrera , María Urbelina Fernández Vazquez , Ariadna Hernández y Ballinas , María De Lourdes Palmer Marquez , Efren Durand Aguilar

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引用次数: 0

摘要

对于一些作者来说，子宫动静脉畸形（UAMM）被认为是动静脉瘘，占生殖器和腹膜内出血的1%至2%，这是手术干预后自发或引发的血管破裂造成的。我们报告一例产妇在斜坡上行走时死亡，表现为子宫出血和昏厥，最终导致死亡。法医尸检显示，妊娠子宫有子宫肌层出血和多处血栓，病理诊断为子宫动静脉畸形。在欠发达国家，孕产妇死亡是一个多因素的公共卫生问题。子宫动静脉畸形是一种罕见的原因，但一些作者认为它诊断不足；近年来报告的病例有所增加，在发展中国家它可能是致命的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Muerte materna asociada a una malformación arteriovenosa uterina

Uterine arteriovenous malformation (UAMM) for some authors, considered an arteriovenous fistula, represents between 1% and 2% of genital and intraperitoneal hemorrhage as a result of spontaneous or provoked vascular rupture after a surgical intervention.

We present a case of maternal death that occurred during a walk on a slope, presenting metrorrhagia and fainting with a fatal outcome. The medico-legal autopsy showed a pregnancy uterus with myometrial hemorrhage and multiple blood clots, diagnosed pathologically as a uterine arteriovenous malformation.

Maternal death is a multifactorial public health problem in underdeveloped countries. Uterine arteriovenous malformation is a rare cause, however some authors consider it underdiagnosed; reported cases have increased in recent years and in developing countries it can be lethal.

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