Severe abdominal pain exacerbated by fetal movement is an early sign of the onset of uterine rupture

Kawabe, Ayaka; Wang, Liangcheng; Kikugawa, Atsuko; Shibata, Yuko; Kuromaki, Kenichi; Takagi, Akiyoshi

doi:10.1016/j.tjog.2015.12.021

Cited by 4 publications

(2 citation statements)

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“…Ignorance and/or financial limitations would be the causes [4]. Given the inadequacy of health coverage and culture in developing countries, most female parturients do not have easy access to health facilities for adequate surveillance of pregnancy and childbirth [9] [10] [11]. Uterine rupture on the healthy uterus in the majority of cases involves the lower segment, preferably the anterior surface.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of uterine rupture is very difficult to make especially outside any labor and uterus scar. However, some authors claim that abdominal pain is stimulated and increased by fetal movements and fetal heart rate abnormalities may be precursors of uterine rupture [11] [12]. Bujold et al have described uterine deformities occurring before rupture or concomitant to rupture, particularly an hourglass shape; which may be signs of pre-rupture or eventual rupture [17].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Non-Laboring Uterine Rupture of an Unscared Uterus before Term Discover during Obstetric Ultrasound

Guena¹,

Alapha²,

Tiodjio³

et al. 2018

CRCM

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Uterine rupture is defined as the occurrence of communication between the abdominal and uterine cavity and may be complete or incomplete depending on the degree of involvement of the different layers of the uterus and surrounding organs. It is a rare complication whose consequences often involve the maternal and fetal prognosis. The majority of uterine rupture occurs on the scarred uterus, its incidence in France is estimated according to the series between 1/1000 and 1/2000 births, it represents 30% of causes of maternal death in the developing countries. The authors report here a case of uterine rupture outside of labor at 33 weeks of age in 32 years old woman, gravida 9 para 8, with no history of uterine surgery discovered during obstetric ultrasound for abdominal pain. During the interrogation, she was alarge multipara and had a child of 15 months. The abdominal ultrasound showed a right lateral corporeal rupture with hemoperitoneum of medium sized and a dead fetus. The emergency laparotomy revealed a right lateral uterine wound approximately 15 cm long with intra-abdominal placenta and a haemoperitoneum of medium sized of about 600 cc and a bladder lesion. After opening the amniotic sac, there was extraction of a dead fetus. The uterine and bladder lesions were repaired followed by bilateral tubal ligation. The patient received 500 cc of whole blood during and 500 cc after the procedure. The postoperative follow-up was simple. This case contributes to the knowledge of this rare and atypical event, and emphasizes the importance of maintaining a suspicion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%