A rare case of posterior uterine rupture with neonatal survival during trial of vaginal birth after cesarean section

Abbas, Ahmed M.; Michael, Armia; Nagy, Mohamed

doi:10.17077/2154-4751.1352

Cited by 5 publications

(10 citation statements)

References 16 publications

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“…Spontaneous rupture of the posterior wall of the uterus in pregnancy is rare and potentially a catastrophic event for both the mother and the foetus [3, 4]. Nonspecific signs and symptoms lead to misdiagnosis and delayed treatment.…”

Section: Discussionmentioning

confidence: 99%

Silent spontaneous posterior uterine rupture of a prior caesarean delivery at 36 weeks of gestation

Chen

2019

BMC Pregnancy Childbirth

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BackgroundIn caesarean section patients, the spontaneous rupture of the posterior wall of the uterus is extremely rare, with nonspecific signs and symptoms being present. Perinatal and maternal morbidity and mortality are high.Case presentationA 28-year-old woman at 36 + 6 weeks of gestation presented with mild uterine contractions and developed a sudden abdominal distension. An emergency laparotomy was performed, and the posterior wall of the uterus had ruptured. A baby boy was born.ConclusionSilent uterine rupture is very rare and easy to ignore due to nonspecific clinical symptoms, unexplained haemoglobin reduction and haemoperitoneum, but these features caution us to more closely consider uterine rupture in patients.

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Section: Discussionmentioning

confidence: 99%

Silent spontaneous posterior uterine rupture of a prior caesarean delivery at 36 weeks of gestation

Chen

2019

BMC Pregnancy Childbirth

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“…[2,4] Whereas, isolated posterior uterine rupture is a very rare condition in unscarred uterus and have even been documented only a number of times in scared uterus. [4,[6][7][8][9][10][11][12][13][14] The cause of posterior uterine rupture in a scarred uterus remains not fully understood. Literature review suggests that other than the previous CS, an additional factor usually seems to play a role in causing the atypical site rupture.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10] In trial to explain the atypical site rupture in a scarred uterus, it has been suggested that the use of PG and/or oxytocin for induction could be the main factor. [11][12][13] The theory suggests that the anterior lower segment scar, from previous CS, interferes with the normal balance of contraction forces, and the use of induction further augments such misbalance creating unequal stress on the uterine wall. [9,11] Another factor seems to be the history of D&C. [14] Despite D&C not causing any frank uterine perforations, uneven curettage, which is inevitable, leaves some areas of the uterine wall more vulnerable; increasing their risk of rupture.…”

Section: Discussionmentioning

confidence: 99%

“…Paradoxically, scar maturation makes it stronger than the rest of the uterine wall and thus the uterus ruptures in atypical sites. [9,12,13] Uterine rupture could be further complicated by injury to anatomically related abdominopelvic structures; where bladder injury has been documented as the more commonly associated injury. [2,4] However, this should not exclude the possibility of injury to other structuresespecially in atypical site injury.…”

Section: Discussionmentioning

confidence: 99%

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Posterolateral uterine rupture in scarred uterus complicated by external iliac vein injury

Zohdy¹,

Ahmed²

2021

IJCR

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Uterine wall rupture is a rare yet catastrophic complication of pregnancy with a high mortality rate of both the mother and the fetus. The condition could be classified according to etiology into primary unscarred uterus, and secondary scarred uterus or according to the site of rupture. Our case presented with scarred uterine rupture through a posterolateral injury. The patient had history of 3 previous CS and a D&C procedure. The rupture was complicated by EIV injury. Uterine rupture does not always present with profound manifestations of shock especially in posterior wall rupture and timely management ensures the best possible outcome. Finally, meticulous examination of the anatomically related structures and vessels, and the repair of any associated injuries, is essential.

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“…O choque hipovolômico foi a principal causa da morte materna 42 . A ruptura da parede uterina posterior em uma paciente com cicatriz de cesariana anterior é muito rara, mas deve ser mantida em mente, pois a intervenção precoce é a única maneira de salvar a mãe e o feto 14,36 . Qureshi et al 37 mostrou que a incidência de RU foi de 0,42% dos partos.…”

Section: Discussionunclassified

Rotura uterina: uma revisão de literatura

Machado¹,

Moraes²

2017

Rev Pat Tocantins

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Direitos Autorais: © 2017 Machado et al. Este é um artigo de acesso aberto que permite o uso, a distribuição e a reprodução sem restrições em qualquer meio, desde que o autor original e a fonte sejam creditados. Conflito de interesses RESUMOIntrodução: A ruptura uterina (RU) é uma emergência obstétrica com o maior risco de morbidade e mortalidade para a mãe e principalmente para o feto. Apesar da ausência de definição consistente na literatura, a RU pode ser descrita como deiscência ou ruptura da parede do útero, precedendo eventos sintomáticos ou clinicamente significativos. Objetivo: abordar a RU por meio de revisão da literatura existente, a fim de fornecer dados atualizados aos profissionais que lidam com essa complicação obstétrica. Metodologia: Foi realizada uma pesquisa nas bases Science Direct, Pub Med e Google Scholar para publicações de dezembro de 2012 a agosto de 2017 sobre a ocorrência de ruptura uterina utilizando a palavra chave: uterine break. Foram incluídos para a revisão 53 artigos. Os dados encontrados nos relatos de casos foram analisados em frequências absolutas e relativas. Resultados: Em revisão dos relatos de caso encontrados, constatou-se que o principal sintoma relatado pelas pacientes no momento do diagnóstico de RU foi dor abdominal intensa. A idade média relatada das pacientes foi de 30,14 anos. A maioria encontrava-se no terceiro trimestre de gestação (51,85%). Ocorreu morte fetal em 64,28% dos casos e nenhuma morte materna foi relatada. A principal conduta obstétrica foi a laparotomia exploradora (LE) (85,71%). A localização do defeito uterino ocorreu principalmente na parede anterior, e a causa provável mais relatada foi a deiscência de cicatriz prévia (35,71%). Constatamos que o fator de risco (FR) para RU mais citado foi cesariana anterior/cicatriz uterina. Conclusão: A RU deve ser pensada como diagnóstico possível sempre que uma gestante se apresente com dor abdominal aguda e presença de coleção líquida na cavidade peritoneal, mesmo que esteja no início da gestação e não apresente FR identificados na história obstétrica. Palavras-chave: Ruptura uterina, Gravidez, Ruptura uterina na gravidez, Desfecho materno, Desfecho fetal. ABSTRACTIntroduction: Uterine rupture (UR) is an obstetric emergency with the highest risk of morbidity and mortality for the mother and especially for the fetus. Despite the lack of consistent definition in the literature, UR can be described as dehiscence or rupture of the uterine wall, preceding symptomatic or clinically significant events. Objective: to approach the UK through a review of the existing literature, in order to provide updated data to professionals dealing with this obstetric complication. Methodology: A study was carried out at the bases Science Direct, Pub Med and Google Scholar for publications from December 2012 to August 2017 on the occurrence of UR using the key word: uterine break. 53 articles were included for the review. Data found in the case reports were analyzed in absolute and relative frequencies. Results: In review of the ...

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A rare case of posterior uterine rupture with neonatal survival during trial of vaginal birth after cesarean section

Abstract: Abstract

Cited by 5 publications

References 16 publications

Silent spontaneous posterior uterine rupture of a prior caesarean delivery at 36 weeks of gestation

Silent spontaneous posterior uterine rupture of a prior caesarean delivery at 36 weeks of gestation

Posterolateral uterine rupture in scarred uterus complicated by external iliac vein injury

Rotura uterina: uma revisão de literatura

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