Vernixuria: Another Sign of Uterine Rupture

O'Grady, John P.; Préfontaine, Michel; Hoffman, Despina E

doi:10.1038/sj.jp.7210897

Cited by 10 publications

(4 citation statements)

References 7 publications

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“…The management of uterine and bladder rupture usually requires laparotomy because of fetal distress or an arrest of labor. [11][12][13][14] In VBAC patients, rupture results from traumatic separation of the dense adhesions between the uterus and bladder during labor. Thus, expectant management might result in poor healing, which in turn could lead to the formation of vesicouterine fistulas.…”

Section: Discussionmentioning

confidence: 99%

A rare case report of rupture uterus with full fetus in bladder

Singh

Jena

Swain

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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Uterine rupture is the primary concern when a patient chooses a trial of labour after a caesarean section. Bladder rupture accompanied by uterine rupture should be taken into consideration if gross haematuria occurs. We report the case of a patient with uterine rupture during a trial of labour after cesarean delivery. Her course of labour went into obstructed labour and failed forceps delivery for which she was referred to our tertiary care hospital. Intra-operatively she was found to be a case of rupture uterus with rupture of bladder and full fetus lying in the bladder which was delivered by giving incision on the anterior bladder wall. Patient had subtotal hysterectomy with repair of bladder done with suprapubic cystostomy. Her postoperative recovery was uneventful. Bladder injury and uterine rupture can occur at any time during labour. Gross haematuria immediately after delivery is the most common presentation. The incidence of rupture uterus and associated bladder injury is on increase due to higher rates of caesarean section. But there are no case reports on full fetus inside the bladder, so it is justified to report this case.

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Section: Discussionmentioning

confidence: 99%

A rare case report of rupture uterus with full fetus in bladder

Singh

Jena

Swain

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…Gross hematuria is the most common sign of uterine rupture associated with bladder rupture. Other rare presentations such as vernixuria, meconium stained urine, urinary incontinence induced by vesicouterine fistulas, fever, and urinary tract infections have also been noted [5][6][7][8] . The diagnosis requires a high degree of suspicion and awareness.…”

Section: Discussionmentioning

confidence: 99%

Uterine Rupture With Simultaneous Bladder Rupture - A Case Report

Mudanur¹,

Vaishnavi²

2014

jemds

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Uterine rupture in pregnancy is a rare and often a catastrophic complication with a high risk of fetal and maternal morbidity and mortality. Uterine rupture associated with urinary bladder rupture is a rare but a challenging situation for a practicing obstetrician. A 29 year old 2 nd gravida with full term gestation with previous LSCS came with complaints of labor pains and P/V leak of 12 hours. There were features suggestive of rupture uterus with simultaneous bladder rupture. A diagnosis of G2P1D1 with term gestation with previous LSCS with rupture uterus with rupture bladder with intrauterine fetal death was made. There was rupture of the previous scar with extension to the anterior vaginal wall with rupture of the posterior wall of the bladder. Uterine and bladder rupture were repaired and peritoneal flap interposed between them and hence conservatively managed. Bladder rupture may be associated with uterine rupture during attempted vaginal birth after cesarean. The potential for bladder injury should be included in the patient's antepartum counseling. KEY WORDS: Rupture uterus, LSCS, labor, vaginal birth after cesarean, bladder rupture. INTRODUCTION:Uterine rupture in pregnancy is a rare and often a catastrophic complication with a high risk of fetal and maternal morbidity and mortality. Rupture of the uterus can occur in a scarred or an unscarred uterus. The risk of uterine rupture ranges from 0.5% to 9% depending upon the type and location of the previous uterine incision. Rupture of the uterus can also involve the other adjacent organs and the most common involvement being the urinary bladder. This being the most common obstetric emergency met in the developing countries.Here we report a case of 2 nd gravida with previous LSCS who presented with rupture uterus with simultaneous rupture of urinary bladder with intrauterine fetal death.

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“…Frequently, the constellation of signs and symptoms is difficult to distinguish those of uterine rupture from the more commonly encountered differential diagnoses such as chorioamnionitis, placental abruption or normal labor. Vernixuria [10] has been described as a unique sign of uterine rupture. Maternal signs of hypotension and tachycardia frequently occur late in the process and lack sensitivity.…”

Section: Discussionmentioning

confidence: 99%

Rupture of the Unscarred Gravid Uterus: Case Series

O’Sullivan¹,

Sauer²,

Friedman³

et al. 2015

J Med Cases

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Rupture of the unscarred uterus is estimated to occur in approximately 0.8 in 10,000 deliveries. It is a potentially catastrophic event for both mother and fetus. We present two such cases and review the relevant literature. The first case concerns a multiparous patient who attended due to reduced fetal movements and subsequently incurred fetal demise, sepsis and significant hemorrhage. The second case concerns a patient in her second delivery who developed uterine rupture after a prolonged second stage of labor. We recommend that clinicians maintain a high index of suspicion for uterine rupture even in the absence of prior cesarean delivery.

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Vernixuria: Another Sign of Uterine Rupture

Cited by 10 publications

References 7 publications

A rare case report of rupture uterus with full fetus in bladder

A rare case report of rupture uterus with full fetus in bladder

Uterine Rupture With Simultaneous Bladder Rupture - A Case Report

Rupture of the Unscarred Gravid Uterus: Case Series

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