Spontaneous complete uterine rupture with protrusion of foetal limbs at the third trimester following laparoscopic cornuostomy

Abstract

Rationale:Spontaneous complete uterine rupture during gestation is rare and has no specific symptoms; however, it is a life-threatening event for both the fetus and mother. The rupture typically happens in labor and is uncommon before labor. Herein, we present the case of a woman, encountering complete rupture at third trimester followed by laparoscopic cornuostomy.Patient concerns:A 26-year-old woman presented with acute right lower abdominal pain at 33 weeks and 5 days of gestation.Diagnoses:We made a diagnosis of threatened uterine rupture.Intervention:Urgent cesarean section performed. Exploration of the uterine dehiscence wound demonstrated that the myometrium was completely ruptured at the primary laparoscopic surgical scar with a defect of 40 mm, and live birth and preservation of the uterus was achieved.Outcome:On the third day of operation, she had a good recovery and was discharged. After a 6-week postpartum follow-up, she displayed a good level of rehabilitation.Lessons:Pregnancy after laparoscopic cornuostomy should be treated as high-risk gestation and the rupture during gestation of the uterine scar should be suspected once lower abdominal pain occurred. Swift diagnosis and prompt intervention play a crucial role in saving the lives of the fetus and the mother.

Spontaneous cesarean scar dehiscence during pregnancy: A case report and review of the literature

“…[1][2][3] Therefore, making an early diagnosis of cesarean scar dehiscence potentially gives better obstetrics outcomes compared to that of uterine rupture. 1,2,7 Here, we present a case of spontaneous cesarean scar dehiscence involving over two-thirds of the anterior uterine wall in a patient who had an inter-pregnancy interval of only 4 months. Interestingly, this degree of spontaneous cesarean scar dehiscence with good maternal and neonatal outcome is not reported so far.…”

Uterine Rupture in Pregnancy following Two Abdominal Myomectomies and IVF

“…There are many factors that could increase the risk of UR [ 3 ], such as congenital uterine anomalies, cesarean section, myomectomy, septum resection [ 4 ], cornuostomy for cornual ectopic pregnancy [ 5 ], resection of posterior deep infiltrating endometriosis [ 6 ], bilateral salpingectomy [ 7 ], and tubal reimplantation [ 8 ].…”