The Journal of reproductive medicine · 2014
Pregnancy in a patient with a vesicouterorectal fistula and obliterated vagina: a case report.
Клинический случайСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Harfouche Melike, Kaliti Stephen, Hosseinipour Mina, Wilkinson Jeffrey
Аннотация
BACKGROUND: Pregnant women with obstetric fistula are at high risk for obstetric complications and present a unique challenge in management.
CASE: A young, HIV-positive woman with a history of rectovaginal and vesicovaginal fistulae after a prior delivery presented in premature labor. Upon cesarean delivery, fecal matter entered the uterus. The uterus was irrigated, closed, and a sigmoid colostomy was created. Subsequently, she underwent repair of both fistulae with bilateral ureteral reimplantation, hysterectomy, primary rectal repair, and colostomy reversal. She remains continent of urine and stool at 6 months'follow-up.
CONCLUSION: Obstetric fistula patients who conceive must be followed closely for obstetric complications and offered timely cesarean delivery.
CASE: A young, HIV-positive woman with a history of rectovaginal and vesicovaginal fistulae after a prior delivery presented in premature labor. Upon cesarean delivery, fecal matter entered the uterus. The uterus was irrigated, closed, and a sigmoid colostomy was created. Subsequently, she underwent repair of both fistulae with bilateral ureteral reimplantation, hysterectomy, primary rectal repair, and colostomy reversal. She remains continent of urine and stool at 6 months'follow-up.
CONCLUSION: Obstetric fistula patients who conceive must be followed closely for obstetric complications and offered timely cesarean delivery.