Case Report
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A case with unscarred uterus rupture during late postpartum period

Year 2017, Volume: 3 Issue: 2, 196 - 199, 04.07.2017
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 5th postoperative
day. Spontaneous rupture of unscarred
uterus should be kept in mind even though it is rarely seen complication at
late postpartum period. 

References

  • [1] Turner MJ. Uterine rupture. Best Pract Res Clin Obstet Gynaecol 2002;16:69-79.
  • [2] Siddiqui M, Ranasinghe JS. Spontaneous rupture of uterus. J Clin Anesth 2002;14:368-70.
  • [3] Smith JG, Mertz HL, Merril DC. Identifying risk factors for uterine rupture. Clin Perinatol 2008;35:85-99.
  • [4] Mazzone ME, Woolever J. Uterine rupture in a patient with an unscarred uterus: a case study. WMJ 2006;105:64-6.
  • [5] Hofmeyr GJ, Say L, Gulmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG 2005;112:1221-8.
  • [6] Nelson JP. Posterior uterine rupture secondary to use of herbs leading to peritonitis and maternal death in a primigravida following vaginal delivery of a live baby in western Uganda: a case report. Pan Afr Med J 2016;23:81.
  • [7] Zwart JJ, Richters JM, Ory F, de Vries JI, Bloemenkamp KW, van Roosmalen J. Uterine rupture in The Netherlands: a nationwide population-based cohort study. BJOG 2009;116:1069-80.
  • [8] Langton J, Fishwick K, Kumar B, Nwosu EC. Spontaneous rupture of an unscarred gravid uterus at 32 weeks gestation. Hum Reprod 1997;12:2066-7.
  • [9] Ripley DL. Uterine emergencies. Obstet Gynecol Clin North Am 1999;26:419-34.
Year 2017, Volume: 3 Issue: 2, 196 - 199, 04.07.2017
https://doi.org/10.18621/eurj.291819

Abstract

References

  • [1] Turner MJ. Uterine rupture. Best Pract Res Clin Obstet Gynaecol 2002;16:69-79.
  • [2] Siddiqui M, Ranasinghe JS. Spontaneous rupture of uterus. J Clin Anesth 2002;14:368-70.
  • [3] Smith JG, Mertz HL, Merril DC. Identifying risk factors for uterine rupture. Clin Perinatol 2008;35:85-99.
  • [4] Mazzone ME, Woolever J. Uterine rupture in a patient with an unscarred uterus: a case study. WMJ 2006;105:64-6.
  • [5] Hofmeyr GJ, Say L, Gulmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG 2005;112:1221-8.
  • [6] Nelson JP. Posterior uterine rupture secondary to use of herbs leading to peritonitis and maternal death in a primigravida following vaginal delivery of a live baby in western Uganda: a case report. Pan Afr Med J 2016;23:81.
  • [7] Zwart JJ, Richters JM, Ory F, de Vries JI, Bloemenkamp KW, van Roosmalen J. Uterine rupture in The Netherlands: a nationwide population-based cohort study. BJOG 2009;116:1069-80.
  • [8] Langton J, Fishwick K, Kumar B, Nwosu EC. Spontaneous rupture of an unscarred gravid uterus at 32 weeks gestation. Hum Reprod 1997;12:2066-7.
  • [9] Ripley DL. Uterine emergencies. Obstet Gynecol Clin North Am 1999;26:419-34.
There are 9 citations in total.

Details

Subjects Health Care Administration
Journal Section Case Reports
Authors

Oytun Kahyaoglu This is me

Cigdem Pulatoglu

Ozan Dogan

Deniz Yuceer This is me

Publication Date July 4, 2017
Submission Date February 12, 2017
Acceptance Date May 5, 2017
Published in Issue Year 2017 Volume: 3 Issue: 2

Cite

AMA Kahyaoglu O, Pulatoglu C, Dogan O, Yuceer D. A case with unscarred uterus rupture during late postpartum period. Eur Res J. July 2017;3(2):196-199. doi:10.18621/eurj.291819

e-ISSN: 2149-3189 


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