Rupture utérine spontanée de découverte tardive sur utérus sain après utilisation du misoprostol

Khediri, Zied; Mbarki, Chaouki; Abdelaziz, Anis Ben; Najeh, Hsayaoui; Slim, Khlif; Chaabene, M.; Mezghenni, S; Oueslati, H.

doi:10.1016/j.femme.2012.04.009

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…It is considered a rare occurrence in developed countries, occurring in 1/2000 births, whereas its incidence is much higher in developing countries, reaching 1/100 births [7] . The incidence of uterine rupture among women with at least one prior ceasarian section is 0.5% [4] , and occurs at a frequency of approximately 1% of pregnancies with a previous scarred uterus during labor induction with misoprostol or oxytocin.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical manifestations of uterine rupture typically involve violent pain in the pelvis that feels like it is tearing, metrorrhagia, and hemodynamic instability that progresses to shock [7] . In early pregnancy, especially without the presence of any predisposing risk factors, the diagnosis may occur with latency or may never be detected; leading to life-threatening complications [6] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A rare case of uterine rupture in the first trimester of pregnancy: Case report and review of literature

Faraj,

Chait,

Elharras

et al. 2024

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare case of uterine rupture in the first trimester of pregnancy: Case report and review of literature

Faraj,

Chait,

Elharras

et al. 2024

Radiology Case Reports

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“…The clinical presentation of uterine rupture commonly comprises sudden abdominal pain, a sensation of tearing, metrorrhagia and hemodynamic instability evolving towards the circulatory shock [8] . Clinically, our patient had a subocclusive syndrome for 3 days without any hemodynamic instability.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous uterine rupture of an unscarred uterus revealed by a subocclusive syndrome: A case report and review of the literature

Aichouni

Belharti

Saadi

et al. 2021

Radiology Case Reports

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Spontaneous uterine rupture of an unscarred uterus is a complication that has dramatic results for both mother and fetus. The clinical presentation commonly comprises abdominal pain and metrorrhagia however we report a case of spontaneous uterine rupture revealed by a subocclusive syndrome. We report a case of a young woman who came to the ER with 3 days of progressive abdominal pain and subocclusive syndrome. The current pregnancy was estimated at 32 weeks of amenorrhea and the patient was hemodynamically stable. An obstetric ultrasound was performed showing a progressive monofoetal pregnancy and moderate peritoneal effusion. In view of the presence of effusion on ultrasound and the subocclusive syndrome, an abdominal and pelvic CT scan with contrast was carried out, showing a fundal uterine rupture defect with contrast media extravasation and intraperitoneal hemoperitoneum. The patient was immediately transferred to the operating room for a caesarean section. Although CT scans use radiation, their contribution was essential to avoid maternal death.

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“…Chez notre patiente, le déclenchement par misoprostol était le seul facteur de risque trouvé, ce qui a donné à cet accident un caractère totalement imprévisible. Le tableau clinique de la rupture utérine est généralement bruyant et les signes typiques sont les douleurs pelviennes violentes, une sensation de déchirement, les métrorragies, et l'instabilité de l'état hémodynamique évoluant vers l'état de choc [8]. Sur le plan clinique, notre patiente a présenté un tableau clinique tronqué fait seulement de douleurs abdominales avec des métrorragies minimes ce qui a induit à un doute diagnostique, la pauvreté des signes cliniques chez notre patiente sont expliqués par le fait que le ligament large est resté intact, jouant donc un rôle compressif, empêchant l'expansion de l'hématome et sa diffusion dans la cavité abdominale.…”

Section: Discussionunclassified

Rupture utérine sur utérus sain: complication du misoprostol: à propos d’un cas et revue de la littérature

Belmajdoub¹,

Alaoui²,

Chaara³

et al. 2018

Pan Afr Med J

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La rupture utérine sur utérus sain au 2 ème et 3 ème trimestre de grossesse est une complication obstétricale rare et grave mettant en jeu les pronostics vitaux maternels et fœtaux et le devenir obstétrical des patientes en l'absence de diagnostic et de prise en charge immédiate. Elle survient majoritairement sur un utérus cicatriciel et reste anecdotique sur un utérus sain. Nous rapportons le cas d'une patiente primigeste ayant présenté une rupture utérine sur un utérus non cicatriciel lors d'un déclenchement de travail par le misoprostol pour mort fœtale in utero (MFIU) sur retard de croissance intra utérin (RCIU) et oligoamnios sévère à 31 semaines d'aménorrhée (SA). Nous discutons à travers ce cas et la revue de la littérature, l'extrême prudence qu'il faut garder pour utiliser le misoprostol en cas de déclenchement du travail ainsi que les signes d'appel cliniques, les facteurs de risque, la méthodologie diagnostique et la prise en charge thérapeutique de cette entité rare mais potentiellement grave.

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Rupture utérine spontanée de découverte tardive sur utérus sain après utilisation du misoprostol

Cited by 3 publications

References 6 publications

A rare case of uterine rupture in the first trimester of pregnancy: Case report and review of literature

A rare case of uterine rupture in the first trimester of pregnancy: Case report and review of literature

Spontaneous uterine rupture of an unscarred uterus revealed by a subocclusive syndrome: A case report and review of the literature

Rupture utérine sur utérus sain: complication du misoprostol: à propos d’un cas et revue de la littérature

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