Spontaneous rupture of uterine leiomyoma during labour

Abstract

Uterine rupture in labour requires an emergency caesarean section. In women with a uterine scar, either from gynaecological surgery or from a previous caesarean section, it is well documented that the risk of rupture is higher than in those without. Spontaneous uterine rupture in a uterus with fibroids during pregnancy or labour is extremely rare. We present a case of a 33-year-old, unbooked pregnant woman from Nigeria who had a uterine rupture secondary to fibroids. She required an emergency caesarean section in labour. The fibroids were not removed. Her baby was born alive and in good condition and she made an uneventful recovery.

Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

“…Similarly, there are also reports of spontaneous rupture of fibroid intrapartum and in the early second trimester at 15 and 20 weeks gestation [11,12,15]. To date, there is no report of a pregnant woman with known fibroids and no history of myomectomy presenting with spontaneous rupture of fibroid in the third trimester prior to the onset of labor, as we present here.…”

Spontaneous rupture of a degenerated leiomyoma causing peritonitis and ileus during pregnancy: A case report

“…This case highlighted the following two findings: First, leiomyomas can rupture during pregnancy. There have been cases reported of the rupture of a blood vessel overlying the leiomyoma during pregnancy 5,6 and after labor, 7 resulting in intra‐abdominal bleeding; a case of nonreassuring fetal status and intra‐abdominal bleeding due to the rupture of a leiomyoma during labor has also been reported 4 . Thus, the rupture of a leiomyoma can occur at any time.…”

Rare complication of fibroids in pregnancy: Spontaneous fibroid rupture

“…Ramskill et al reported the rupture of a uterine fibroid during labor in a 33‐year‐old patient. Another case reported a spontaneous uterine bleed at 15 weeks of gestation from a fibroid.…”