ACaseReport以消化道穿孔为临床表现的.PDFVIP

Hans Journal of Surgery 外科, 2015, 4, 26-28 Published Online July 2015 in Hans. /journal/hjs /10.12677/hjs.2015.43005 Uterine Perforation of Pyometra Presenting as Gastrointestinal Perforation: A Case Report Wanbin Yin, Xiaotang Zhao, Maoshen Zhang, Yun Lu* Department of General Surgery, The Huangdao Branch of the Affiliated Hospital of Qingdao University, Qingdao Shandong * Email: cloudylucn@126.com th th th Received: Jul. 6 , 2015; accepted: Jul. 19 , 2015; published: Jul. 24 , 2015 Copyright © 2015 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ 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 sim- ilar 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. Keywords Gastrointestinal Perforation, Misdiagnosis, Perforated Pyometra 以消化道穿孔为临床表现的子宫穿孔1例报道 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 * Email: cloudylucn@126.com 收稿日期：2015年7月6 日；录用日期：2015年7月19 日；发布日期：2015年7月24 日 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 *通讯作者。 26 以消化道穿孔为临床表现的子宫穿孔1 例报道 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。 关键词 消化道穿孔，误诊，子宫穿孔 1. 引言 消化道穿孔是外科常见的急腹症。其鉴别诊断复杂，有时候容易误诊。宫腔积脓并自发性子宫穿孔 临床上罕见，临床表现与消化道穿孔极为