医源性泄殖腔1例报告。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Laveena Balani, Ashok Kumar
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引用次数: 0

摘要

背景:外伤性肛管畸形是严重产科损伤的结果,通常发生在会阴四度撕裂伤之后。其特征是会阴体完全破裂,内、外肛门括约肌前部缺损,直肠阴道远端和/或肛门阴道间隔缺失。包括阴道和直肠肛门出口的共同腔室为泄殖腔。病例总结:我们报告了一例15岁未婚女性,她在12岁时发生了血肿并被诊断为宫颈口梗阻。她行了血肿引流术,随后又行了腹部和会阴其他部位的手术,随后出现了阴道排出的粪便。检查发现阴道后壁及肛门直肠前壁缺失。此外,肛门括约肌的前半部分也缺失。她接受了阴道成形术、肛门直肠成形术、括约肌成形术和提肛成形术,并形成了直肠阴道隔。结论:本病例报告强调了一位年轻女性良性妇科疾病管理不善的病例,导致子宫切除术和输卵管-卵巢切除术后患者生活质量终身受损,导致共同泄殖腔的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Iatrogenic cloaca: A case report.

Background: Traumatic cloacal deformities are a result of major obstetric injury and usually happens after a fourth-degree perineal laceration. This is characterized by complete disruption of the perineal body, anterior defect of the internal and external anal sphincter, and loss of the distal rectovaginal and/or anovaginal septum. The common chamber incorporating vagina and recto anal outlet ensues as cloaca.

Case summary: We present a case of unmarried 15-year female, who developed hematometra and was diagnosed as cervical ostia obstruction at the age of 12 year. She underwent drainage of hematometra, and later some abdominal and perineal procedures elsewhere and subsequently developed fecal discharge from the vagina. Examination revealed absence of posterior wall of vagina and anterior wall of anorectum. In addition, the anterior half of the anal sphincter was also absent. She underwent vaginoplasty, anorectoplasty, sphincteroplasty with levatorplasty with creation of rectovaginal septum.

Conclusion: This case report highlights expert management of a case of mismanaged benign gynaecological condition in a young female that resulted in lifelong impairment of the patient's quality of life following hysterectomy and salpingo-oophorectomy, leading to the development of a common cloaca.

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来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
自引率
0.00%
发文量
3384
期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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