scholarly journals Spontaneous Rupture of an Unscarred Gravid Uterus in a Primigravid Woman at 32 Weeks of Gestation

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Etsuko Mizutamari ◽  
Tomoko Honda ◽  
Takashi Ohba ◽  
Hidetaka Katabuchi
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Gravid Uterus ◽  
Uterine Perforation ◽  
Primigravid Woman ◽  
Scarred Uterus ◽  
Operative Findings ◽  
The Right

Uterine rupture usually occurs in a scarred uterus, especially secondary to prior cesarean section. Antepartum uterine rupture in an unscarred uterus is extremely rare. We report a case of spontaneous rupture of an unscarred gravid uterus at 32 weeks of gestation in a primigravid woman. Ultrasonography and magnetic resonance imaging showed a bulging cystic lesion communicating with the intrauterine cavity. Operative findings during emergent cesarean section revealed uterine perforation in the right cornual area and a prolapsed, nonbleeding amniotic sac. The left cornual area was also focally thin. An arcuate uterus was suspected based on follow-up hysterosalpingography. Antepartum uterine rupture tends to occur in the uterine cornual area. In this case, Müllerian duct anomalies may have been associated with focal myometrial defects.

scholarly journals Spontaneous uterine rupture of an unscarred uterus in primigravida: case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1750
Author(s):  
Minakshi D. Bansode
Keyword(s):  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Anterior Wall ◽  
Postoperative Recovery ◽  
Lower Margin ◽  
Spontaneous Uterine Rupture ◽  
Maternal Morbidity And Mortality ◽  
Primigravid Woman ◽  
Operative Findings ◽  
The Right

A spontaneous rupture of the unscarred uterus in a primigravid patient is extremely rare and is associated with high perinatal and maternal morbidity and mortality. Study report a case of spontaneous rupture of an unscarred uterus at 36 weeks of gestation in a 22-years primigravid woman. Ultrasonography showed posterior low-lying placenta praevia with lower margin touching internal OS. Operative findings during emergent caesarean section revealed e/o 2 L of hemoperitoneum, uterus was bicornuate and pregnancy was in the right horn. There was fundal rupture of right horn measuring approximately 6-7 cm anteroposterior. Incision was taken on the lower part of right horn and placenta was seen on anterior wall. Baby delivered as breech after incising placenta. Postoperative recovery was uneventful. In, conclusion, bicornuate uterus may be an independent risk factor for uterine rupture, which can occur in primigravid patients and at any gestation.

scholarly journals Uterine Rupture in Subsequent Pregnancy in a Patient with Previous Uterine Manipulator Associated Uterine Perforation

2018 ◽  
pp. 1
Author(s):  
Ihsan Bagli ◽  
Yasemin Dogan ◽  
Selcuk Erkilinc ◽  
Ali Emre Tahaoglu
Keyword(s):  
Cesarean Section ◽  
Acute Abdomen ◽  
Uterine Rupture ◽  
Subsequent Pregnancy ◽  
Uterine Perforation ◽  
Uterine Manipulator ◽  
Active Labor ◽  
History Of ◽  
Primigravid Woman ◽  
Emergent Cesarean Section

<p>To report a case who experienced uterine rupture at 38th week of gestation and had a history of manipulator associated uterine rupture. <br />A 25 years old primigravid woman at 38 weeks of gestation was referred to our hospital with the signs of active labor. Heavy lower abdominal cramps and signs of acute abdomen suggested uterine rupture and emergent cesarean section was performed. A 3 cm in size and circular in shape uterin rupture at the fundus that was imitative of enlarged previous manipulator associated rupture was observed. <br />A manipulator associated uterine rupture should be repaired when encountered in reproductive ages in order to prevent a possible uterine perforation during subsequent pregnancy.</p>

Recurrent large uterine fundal dehiscence during cesarean section after hysteroscopic uterine septum resection with uterine perforation

2016 ◽  
Vol 5 (2) ◽  
pp. 85-87
Author(s):  
İbrahim Alanbay ◽  
Mustafa Öztürk ◽  
Mustafa Ulubay ◽  
Uğur Keskin ◽  
Emre Karaşahin
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Late Complication ◽  
Uterine Wall ◽  
Elective Cesarean Section ◽  
Uterine Perforation ◽  
Elective Cesarean ◽  
Uterine Septum ◽  
Uterine Fundus ◽  
Previous Cesarean

Abstract Septum resection using hysterescopy is safe, rapid and efective, but some late complication of it may be seen as uterine rupture or dehiscence of uterine wall during pregnancy due to myometrial damage. We present a case of recurrent large uterine fundal dehiscence conscecutive to cesarean section in a patient who had previously undergone a uterine septum resection. The patient was a 35-year-old who presented at 39 weeks of gestation (Gravida 2, Parity 1) and was admitted for an elective cesarean section. Her reproductive history included a septum resection which resulted in uterine perforation, and one previous cesarean section in which a large fundal defect was found and repaired. Then the examination had shown an aproximately 5 cm large uterine fundus defect including all three layers of uterus which had been repaired. Perforation or excessively deep incision of uterine fundus during hysteroscopic metroplasty may cause chronic weakness of the uterine wall especially at fundal localization. Our case was an incidental uterine wall dehiscence during cesarean section. Patients with an uterine septum resection history should be followed up carefully for uterine rupture during pregnancy.

scholarly journals Intrauterine Device Insertion during Cesarean Section in Women without Prenatal Contraception Counseling: Lessons from a Country with High Cesarean Rates

2019 ◽  
Vol 41 (08) ◽  
pp. 485-492
Author(s):  
Alberto Moreno Zaconeta ◽  
Ana Carolina Oliveira ◽  
Flavielly Souza Estrela ◽  
Thalia Maia Vasconcelos ◽  
Paulo Sergio França ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Section ◽  
Removal Rate ◽  
Intrauterine Device ◽  
Uterine Perforation ◽  
Cesarean Sections ◽  
Trial Of Labor ◽  
The Moment ◽  
Contraception Counseling

Objective The moment of admission for delivery may be inappropriate for offering an intrauterine device (IUD) to women without prenatal contraception counseling. However, in countries with high cesarean rates and deficient prenatal contraception counseling, this strategy may reduce unexpected pregnancies and repeated cesarean sections. Methods This was a prospective cohort study involving 100 women without prenatal contraception counseling. Postplacental IUD was offered after admission for delivery and placed during cesarean. The rates of IUD continuation, uterine perforation, and endometritis were assessed at 6 weeks and 6 months, and the proportion of women continuing with IUD at 6 months was assessed with respect to the number of previous cesareans. Results Ninety-seven women completed the follow-up. The rate of IUD continuation was 91% at 6 weeks and 83.5% at 6 months. The expulsion/removal rate in the first 6 weeks was not different from that between 6 weeks and 6 months (9 vs 9.1%, respectively). There were 2 cases of endometritis (2.1%), and no case of uterine perforation. Among 81 women continuing with intrauterine device after 6-months, 31% had undergone only the cesarean section in which the IUD was inserted, 44% had undergone 2 and 25% had undergone 3 or more cesarean sections. Conclusion Two thirds of the women who continued with IUD at 6 months had undergone 2 or more cesarean sections. Since offering trial of labor is unusual after 2 or more previous cesareans, we believe that offering IUD after admission for delivery may reduce the risk of repeated cesarean sections and its inherent risks.

Fatal spontaneous rupture of a gravid uterus: Case report and literature review of uterine rupture

1996 ◽  
Vol 14 (2) ◽  
pp. 181-185 ◽  
Author(s):  
Selim Suner ◽  
Liudvikas Jagminas ◽  
Jeffrey F. Peipert ◽  
James Linakis
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Gravid Uterus

scholarly journals RUPTURE OF UTERUS (FUNDUS)

2016 ◽  
Vol 23 (01) ◽  
pp. 114-117
Author(s):  
Mubasher Saeed Pansota ◽  
Aisha Ajmal ◽  
Bushra Sher Zaman
Keyword(s):  
Uterine Rupture ◽  
Past History ◽  
Sudden Onset ◽  
Gravid Uterus ◽  
History Of ◽  
Uterine Curettage ◽  
Rupture Of Uterus ◽  
Uterine Scar ◽  
Scarred Uterus ◽  
Uterine Fundus

Rupture of a gravid uterus is a surgical emergency. Predisposing factorsinclude a scarred uterus. Spontaneous rupture of an unscarred uterus during pregnancy is arare occurrence. We hereby present the case of a spontaneous complete uterine rupture at agestational age of 35 weeks 01 day in a 25 years old patient. The case was managed at theCivil Hospital Bahawalpur. She had past history of one uterine curettage for endometrial polypone year back. She presented with mild abdominal pains of sudden onset. After conservativemanagement for 10 hours in hospital she suddenly developed severe abdominal pains with P/Vbleeding. On ultrasound scan, uterine rupture was diagnosed and an emergency laparotomywas done. The ruptured amniotic sac with baby and placenta were found in the peritoneal cavitywith rupture of the uterine funds. Spontaneous uterine fundus rupture usually occurs whenthere is an upper segment uterine scar. This case report shows that past history of curettage isa risk factor for the presence of uterine scar.

scholarly journals Silent Spontaneous Uterine Rupture at 36 Weeks of Gestation

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
J. Y. Woo ◽  
L. Tate ◽  
S. Roth ◽  
A. C. Eke
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Neonatal Morbidity ◽  
Male Infant ◽  
Postoperative Recovery ◽  
Spontaneous Uterine Rupture ◽  
Good Imaging ◽  
History Of ◽  
High Index Of Suspicion

Introduction.Silent spontaneous rupture of the uterus before term, with extrusion of an intact amniotic sac and delivery of a healthy neonate, with no maternal or neonatal morbidity or mortality is very rare. Very few cases have been reported in literature.Case Presentation.We report a case of silent spontaneous uterine rupture, found during a scheduled repeat cesarean section at 36 weeks of gestation. Patient had history of two prior classical cesarean sections. She underwent cesarean section, with delivery of a healthy male infant. She had a good postoperative recovery and was discharged on postoperative day 3.Conclusion.Silent spontaneous rupture of the uterus before term with extrusion of an intact amniotic sac is rare. A high index of suspicion and good imaging during pregnancy are important in making this diagnosis.

scholarly journals Spontaneous Rupture of the Non Gravid Uterus: A Case Report

2021 ◽  
Vol 11 (11) ◽  
pp. 108-111
Author(s):  
Saima Najam ◽  
Sana Abady Mohmed ◽  
Shehla Aqeel
Keyword(s):  
Uterine Rupture ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Pelvic Trauma ◽  
Gravid Uterus ◽  
Spontaneous Uterine Rupture ◽  
Asymptomatic Patients ◽  
Gravid Females ◽  
The Right ◽  
Uterine Dehiscence

Uterine rupture can cause serious morbidity and mortality to the women. A complete uterine rupture is a diagnosis made when all three layers of the uterus are separated, while uterine dehiscence is a similar condition in which there is incomplete division of the uterus that does not penetrate all three layers of the uterus. Uterine dehiscence is most often an occult finding in asymptomatic patients. Mostly the uterine rupture is seen in gravid females however it has been reported in non gravid patients as well. Spontaneous uterine rupture is extremely rare to be seen in non gravid patients, but should be included in the differential diagnosis of acute abdomen and shock in a non pregnant woman of any age due to its catastrophic consequences. In non gravid uterus the most common cause of the uterine rupture is pelvic trauma, uterine myomas, infection or uterine carcinoma. We hereby report a case of 44 years old female with previous 4 caesarean sections who came on12th day of her cycle with heavy bleeding, lower abdominal pain and anaemia. She was found to have small fibroids which were blamed for the menorrhagia and she was admitted for the conservative management. She collapsed on day 2 of admission suddenly and after stabilization of the patient her exploratory laparotomy was done and uterine rupture was detected on the right side of the previous scar. The uterus was repaired as the patient refused for hysterectomy. Her post op recovery was uneventful. Her first periods after the surgery was normal with average amount of blood loss. Key words: Uterine rupture, haemorrhage, non -gravid, caesarean, hysterectomy, laparotomy.

scholarly journals Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section

2020 ◽  
Vol 4 (4) ◽  
pp. 623-625
Author(s):  
Krista Wiese ◽  
Stacey Ernest ◽  
W. Seth Dukes
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Cesarean Section ◽  
Uterine Rupture ◽  
Motor Vehicle ◽  
Rare Complication ◽  
Cesarean Sections ◽  
Vehicle Collision ◽  
Emergency Cesarean ◽  
The Right

Introduction: Uterine ruptures in blunt trauma are an extremely rare complication. Furthermore, while perimortem cesarean sections in cardiac arrest patients are a well-established practice in emergency medicine, cesarean sections in the emergency department are rarely performed on non-arresting patients. Case Report: A multigravida woman at approximately 24 weeks gestation presented as a transfer from an outside hospital after a motor vehicle collision. Upon arriving to our facility, she underwent an emergency cesarean section in the trauma bay and was found to have a uterine rupture with the fetus free floating in the right upper quadrant of the abdomen. Conclusion: Uterine rupture is a rare but important complication of blunt abdominal trauma in pregnant patients. Resuscitative cesarean sections may be necessary for favorable outcomes. A well prepared and diversified team was essential to maternal survival.

scholarly journals Dissection of the uterine wall in a scarred uterus: a case report

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sanne J. M. Zilver ◽  
Wouter Wegdam ◽  
Angelo B. Hooker
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Fetal Distress ◽  
Uterine Wall ◽  
Emergency Laparotomy ◽  
Vacuum Extraction ◽  
Trial Of Labor ◽  
Increased Risk ◽  
Clinical Consequences ◽  
Scarred Uterus

AbstractUterine rupture is a potentially fatal complication during pregnancy, delivery, or postpartum. Women attempting a trial of labor after a cesarean section have an increased risk of a subsequent rupture. We report a case of a 24-year-old woman, gravida 2 para 1 with a previous cesarean section who underwent a trial of labor. During labor she complained of pain while labor progressed rapidly. Because of signs of fetal distress, a vacuum extraction was performed. Two hours after delivery, the patient complained again of severe abdominal pain. Blood accumulated in a previously non-existent area between the serosa and uterine muscle. A dissection of the uterine wall occurred with serious clinical consequences, compatible with a complete uterine rupture. Emergency laparotomy was performed to repair the uterine wall; a hysterectomy was prevented.

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