Spontaneous rupture of an unscarred gravid uterus at 32 weeks gestation

Langton, Josephine; Fishwick, Kathryn; Kumar, B. Satheesh; Nwosu, Ezechi Cally

doi:10.1093/humrep/12.9.2066

Cited by 50 publications

(36 citation statements)

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“…Although most cases in the literature were placed into one of these two categories, only a few were similar to ours in appearance. Langton et al reported a case of spontaneous uterine rupture that occurred in a nonlaboring uterus of a primigravid with no previous risk factors at 32 weeks and a tear extending into two-thirds of the uterine wall with small actively bleeding vessels was identified during laparotomy [4]. The patient in our case was a grandmultiparous woman at term and laboring.…”

Section: Discussionmentioning

confidence: 75%

Delayed diagnosis of an atypical rupture of an unscarred uterus due to assisted fundal pressure: a case report

et al. 2009

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IntroductionAlthough rare, rupture of an unscarred uterus is one of the most dangerous obstetric complications, resulting in maternal and fetal jeopardy.Case presentationA 30-year-old grand multiparous Turkish woman without any history of uterine surgery gave birth vaginally at 37 weeks of gestation with fundal pressure applied in the second stage of labor. Transabdominal sonography performed 32 hours after delivery due to postural hypotension and a drop in hemoglobin values in the postpartum period revealed massive intra-abdominal free fluid. On emergency laparotomy, serosal rupture of the uterus on the left posterior side was observed. She underwent a subtotal hysterectomy and did well postoperatively.ConclusionPostural hypotension in postpartum patients without any evident vaginal bleeding may be an early sign of possible uterine rupture, even if the vital signs are stable. Early diagnosis is important if maternal morbidity and mortality are to be decreased.

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Section: Discussionmentioning

confidence: 75%

Delayed diagnosis of an atypical rupture of an unscarred uterus due to assisted fundal pressure: a case report

et al. 2009

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“…Doğumla ilişkili olmaksızın ve daha öncesine ait skar dokusu, travma öyküsü olmayan spontan uterus rüptürü ise yok denecek kadar az sayıda bildirilmiştir. (2,5).…”

Section: Discussionunclassified

A Rare Case: Spontaneous Uterine Rupture in First Pregnancy

Aksel¹,

Deniz²,

Güneysel³

2014

JAEMCR

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“…Rupture occurring in presumably normal tissue, as opposed to scarred areas, is extremely rare [1]. There are few case reports of spontaneous rupture without significant risk factors [2,3]. Most reports demonstrated that underlying pathological changes could be anticipated in the presence of certain conditions;multiparity, uterine anomalies like uterine diverticulae and bicornuate uteri, placenta percreta, arteriovenous malformation, endometriosis, precipitous labour and obstructed labour.…”

Section: Discussionmentioning

confidence: 99%