早产产前胎膜破裂及皮脂性腹膜炎1例

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Acta Facultatis Medicae Naissensis Pub Date : 2022-01-01 DOI:10.5937/afmnai39-31021
Dejan Mihajlovic, Novica Đoković, L. Vitković, N. Sulovic, M. Mijović
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引用次数: 2

摘要

腹膜炎是一种罕见的产后并发症,尽管剖宫产的发生率增加,但临床医生很少认识到。病例报告:一名23岁的患者,在怀孕期间没有进行任何先前的医学检查,并患有早产胎膜早破(PPROM),通过剖宫产分娩。剖宫产术后第4天,患者出现发热、腹痛。实验室参数显示炎症升高。在恶露拭子中发现了两种细菌:大肠杆菌和变形杆菌。在腹腔内进行剖腹手术后,可见肠内出血-化脓性内容物和多发干酪状纤维蛋白沉积。经7天的腹腔灌洗及三联抗生素治疗,患者完全康复。组织病理学分析显示,炎症细胞集中在非核细胞周围,边缘起皱,这主要与炎症改变的皮脂细胞相对应。结论:及早发现皮脂性腹膜炎,可防止因炎症改变的腹部脏器被切除。
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Preterm prelabour rupture of membranes and Vernix Caseosa Peritonitis: A case report
Introduction: Vernix caseosa peritonitis (VCP) is a rare postpartum complication rarely recognized by clinicians despite an increased incidence of cesarean sections. Case report: A 23-year-old patient, who had not had any prior medical examination during pregnancy and with preterm premature rupture of the membranes (PPROM), gave birth by cesarean section. On the 4th day after the cesarean section, the patient developed fever and abdominal pain. Laboratory parameters showing inflammation were increased. Two bacteria were found in the swab of the lochia: Escherichia coli and Proteus mirabilis. After relaparotomy was performed inside the abdominal cavity, hemorrhagic-purulent contents and multiple cheesy fibrin deposits on the intestines were visible. After peritoneal lavage and triple antibiotic therapy prescribed in duration of seven days, the patient completely recovered. Histopathological analysis showed a mixture of inflammatory cells concentrated around non-nuclear cells with wrinkled edges, which primarily corresponded to the inflammatory-altered vernix. Conclusion: Early recognition of vernix caseosa peritonitis is very important because it can prevent the resection of the abdominal organs that are altered with inflammation.
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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