帝王切開術後に生じた頸管腺領域の憩室状空隙の拡張に伴う子宮創部の菲薄化・伸展に起因すると考えられた急性腹症の1例

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We saw a case of acute celiopathy caused by local bulging at a previous cesarean scar in the uterine cervix. The patient was 37 years old and had preriously had two cesarean sections at another hospital due to cephalopelvic disproportion, and the last cesarean section was done in August, 1996. On November 19, 1999, when she came Shinnitetsu Muroran General Hospital because of acute celiopathy, there was about a 2cm echo free space in the region of the cervical glands, and anterior uterine wall thickness was about 0.5cm in transvaginal ultrasonography. Aspiration of retention mucin brought dramatic relief from pain. She had the same clinical course twice, so it was considered that this pain was caused by local bulging at a previous cesarean scar in the uterine cervical gland region. Her serum prolactin level was high before coming our hospital, but when she came Shinnitetsu Muroran General Hospital the prolactin level was in the normal range. When the serum prolactin level dropped, the function of the ovaries recovered and caused retention of cervical mucous. We consider that this pain is an a previously unknown complication after a cesarean section and this is the first report of such a post cesarean complication.
2000-07-01