A case with unscarred uterus rupture during late postpartum period

Year 2017, , 196 - 199, 04.07.2017

Oytun Kahyaoglu Cigdem Pulatoglu , Ozan Dogan , Deniz Yuceer

https://doi.org/10.18621/eurj.291819

Abstract

An unscarred uterus rupture is uncommon. It has non-specific symptoms and presentation
differs according to the site and time of rupture. It is usually
diagnosed intrapartum or shortly after delivery. Here we report a spontaneous
rupture of unscarred uterus with delayed presentation and without any usual
risk factors. A 33-year-old and 38 weeks pregnant woman presented with regular
uterine contractions. The labor was successfully completed vaginally without
any augmentation and no intrapartum complications were observed. After 72 hours the patient complained of an abdominal
distension and tenderness. She underwent emergency explorative operation. Intraoperative
examination revealed a rupture area on the right posterolateral wall of the
uterine fundus approximately 5-6 cm in width. The post-operative period was
uneventful and the patient was discharged on 5^th postoperative
day. Spontaneous rupture of unscarred
uterus should be kept in mind even though it is rarely seen complication at
late postpartum period. 

Keywords

postpartum rupture, Uterine rupture, postpartum hemorrhage

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