Spontaneous Uterine Rupture in a Multigravid Pregnant Woman with Unscarred Uterus on Chronic Steroid Use: A Case Report

Cai, Emmy; Shao, Yi-Hong; Mansour, Fady; Brown, Richard N

doi:10.1016/j.jogc.2020.04.005

Cited by 2 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[20,21] Emmy et al presented a UUR of multigravida pregnant woman with chronic use of glucocorticoids for the disease of psoriatic arthritis, which further proved a causal link between the chronic use of GCs and UR. [2] In the present case, besides the past history of SLE and longterm use of GC, curettage and 4 times hysteroscopy may also contribute to the occurrence of UUR. Because these intrauterine surgeries may cause an unrecognized uterine injury or even perforation.…”

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

“…According to literature review, the risk factors include high parity (≥4 births), uterine anomalies or diverticula, fetal macrosomia, multiple gestations, abnormal placentation, uterine adenomyosis, curettage, underlying connective tissue disorder and injudicious use of oxytocin. [1][2][3][4][5][6][7][8][9][10][11] Here, we present a rare case of UUR in a primiparous woman at 13 weeks of gestation after in vitro fertilization embryo transfer who was diagnosed with the disease of systemic lupus erythematosus (SLE). Informed consent was obtained from all individual participants included in the study.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Spontaneous unscarred uterine rupture at 13 weeks of gestation after in vitro fertilization-embryo transfer: A case report and literature review

Zheng,

Zhou,

2023

Medicine

View full text Add to dashboard Cite

Rationale: Uterine rupture (UR) during pregnancy is a serious obstetric complication. Here we report a case of spontaneous rupture in an unscarred uterus at 13 weeks of gestation after in vitro fertilization embryo transfer, which is not common in past references. Our focus is to understand the relationship between systemic lupus erythematosus (SLE) and UR. Patient concerns: A 33-year-old infertile woman with a history of SLE became pregnant after in vitro fertilization embryo transfer. She presented with sudden mental fatigue and dyspnea, accompanied by sweating, dizziness and lower abdominal pain at 13 weeks of gestation. Diagnoses: Blood analysis revealed anemia. Ultrasonography and plain computed tomography scan revealed intrauterine early pregnancy with effusion in pelvic and abdominal cavity. Laparotomy confirmed the diagnosis of UR. Interventions: The patient underwent emergency laparotomy. Upon surgery, multiple myometrium was weak with only serosal layer visible, and there was a 2.5 cm irregular breach with exposed placenta and villous tissue in the posterior wall of the uterus. After removing intrauterine fetus and repairing the breach, there was still persistent intraperitoneal hemorrhage. The patient underwent subtotal hysterectomy finally. Outcomes: Postoperative recovery was uneventful. The patient was discharged on the 8th day after operation. Lessons: Combined efforts of specialists from ultrasound, imaging and gynecologist led to the successful diagnosis and management of this patient. We should be cautious about the occurrence of unscarred uterus rupture during pregnancy of the women with the disease of SLE and long-term glucocorticoid treatment. In IVF, we had better transfer one embryo for these patients with the history of SLE. Obstetricians should strengthen labor tests to detect early signs of UR of the patients with SLE and long term glucocorticoid treatment. Once UR is suspected, prompt surgical treatment is needed as soon as possible.

show abstract

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous unscarred uterine rupture at 13 weeks of gestation after in vitro fertilization-embryo transfer: A case report and literature review

Zheng,

Zhou,

2023

Medicine

View full text Add to dashboard Cite

show abstract

Spontaneous unscarred uterine rupture at 34 weeks of gestation in a primigravid women: A case report

Ho¹,

Vuong²,

Lê³

2022

IJOGR

View full text Add to dashboard Cite

Spontaneous unscarred uterine rupture (SUUR) is a catastrophic obstetric complication. We presented a case of the woman at 34 weeks of gestation without apparent causes of SUUR.: A 28-year-old primigravid woman in her third trimester came to the hospital because of abdominal pain. She had a history of endoscopic surgery for adhesiolysis of bilateral fallopian tubes and untreated thyroid disease. Out of the typical vital signs, preeclampsia was diagnosed. After considering the results of ultrasound images with massive free fluid in the abdomen, the emergency exploratory laparotomy was conducted. We delivered an alive baby and repaired the uterine rupture site. The patient was discharged on the 5 postoperative day in a stable condition.: The endoscopic surgery for adhesion separation of the fallopian tube could be a risk factor for SUUR. Timely diagnosis and management plays a crucial role in the prognosis of women suspected of SUUR.

show abstract

Spontaneous Uterine Rupture in a Multigravid Pregnant Woman with Unscarred Uterus on Chronic Steroid Use: A Case Report

Cited by 2 publications

References 11 publications

Spontaneous unscarred uterine rupture at 13 weeks of gestation after in vitro fertilization-embryo transfer: A case report and literature review

Spontaneous unscarred uterine rupture at 13 weeks of gestation after in vitro fertilization-embryo transfer: A case report and literature review

Spontaneous unscarred uterine rupture at 34 weeks of gestation in a primigravid women: A case report

Contact Info

Product

Resources

About