Antepartum uterine rupture at 29 weeks gestation following unilateral salpingectomy and review of literature

Huang, Yu-Ting; Yim, Stephen; Kapurubandara, Supuni; Anpalagan, Anbu

doi:10.1136/bcr-2015-211359

Cited by 4 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Uterine rupture was recorded in one case after laparoscopic salpingectomy (175 ± 33.45 days) and these data have been reported in the literature in another case of UR after unilateral salpingectomy 16 . Albeit only one case was reported in our data, the patient was aged 42 years with a normal BMI and no previous pregnancies, but had endometriosis, and UR took place at 25 weeks of pregnancy, at the cornua and was successfully repaired.…”

Section: Discussionsupporting

confidence: 72%

Uterine rupture during pregnancy: The URIDA (uterine rupture international data acquisition) study

Tinelli

Kosmas

Carugno

et al. 2021

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To describe the characteristics and peripartum outcomes of patients diagnosed with uterine rupture (UR) by an observational cohort retrospective study on 270 patients. Methods Demographic information, surgical history, symptoms, and postoperative outcome of women and neonates after UR were collected in a large database. The statistical analysis searched for correlation between UR, previous uterine interventions, fibroids, and the successive perinatal outcomes in women with previous UR. Results Uterine rupture was significantly associated with previous uterine surgery, occurring, on average, at 36 weeks of pregnancy in women also without previous uterine surgery. UR did not rise exponentially with an increasing number of uterine operations. Fibroids were related to UR. The earliest UR occurred at 159 days after hysteroscopic myomectomy, followed by laparoscopic myomectomy (251 days) and laparotomic myomectomy (253 days). Fertility preservation was feasible in several women. Gestational age and birth weight seemed not to be affected in the subsequent pregnancy. Conclusion Data analysis showed that previous laparoscopic and abdominal myomectomies were associated with UR in pregnancy, and hysteroscopic myomectomy was associated at earlier gestational ages. UR did not increase exponentially with an increasing number of previous scars. UR should not be considered a contraindication to future pregnancies.

show abstract

Section: Discussionsupporting

confidence: 72%

Uterine rupture during pregnancy: The URIDA (uterine rupture international data acquisition) study

Tinelli

Kosmas

Carugno

et al. 2021

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…Uterine rupture during intrauterine pregnancy after salpingectomy is a rare clinical adverse event [4]. To our knowledge, no more than 10 cases have been reported in the literature, most of which are unilateral ruptures of a uterine horn [5].…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of a twin pregnancy with double-corner uterine rupture following salpingectomy and protrusion of the amniotic sac as an adnexal cyst: a case report

Dong

Cao

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background: Salpingectomy-associated uterine rupture during intrauterine pregnancy is rare in the clinic. We report a case of pregnancy with bilateral rupture of the uterine horns after bilateral salpingectomy. Case presentation: A 30-year-old woman of Han ethnicity presented with right epigastric pain at 28 weeks and 6 days of gestation. Examination by colour Doppler ultrasound showed the following: "Twin live births with normal foetal umbilical artery blood flow indexes and a 183 mm × 112 mm anechoic zone in the right front of the uterus". Initially, we made an incorrect judgement wherein we considered the amniotic sac that was protruding into the abdominal cavity to be an adnexal cyst. Fortunately, the diagnosis of uterine rupture was confirmed before the protruded amniotic sac broke. The mother did not bleed much, and the twin foetuses survived in our case. Conclusion: A previous history of salpingectomy via laparoscopy could be a risk factor for uterine rupture in pregnant women. Attention should be paid to rare complications of pregnancy. To avoid adverse events, we should pay special attention to women with a history of laparoscopic salpingectomy who complain about abdominal discomfort and offer them a relevant ultrasound examination.

show abstract

“…Uterine rupture is one of the major complications of pregnancy involving the maternofoetal prognosis [1][2][3]. However, this complication is observed in varying proportions in the case of a history of opening of the uterine cavity, namely caesarean section and uterine rupture, mucosal rupture in the case of myomectomy and wedge resection of the uterine horn in the case of interstitial EP [1,4].…”

Section: Introductionmentioning

confidence: 99%

An Unusual Case of Spontaneous Uterine Rupture After a Salpingectomy Following an Interstitial Ectopic Pregnancy

Victor¹,

Ramata²,

José³

et al. 2021

JGO

View full text Add to dashboard Cite

Spontaneous uterine rupture following a history of surgical treatment of an interstitial tubal ectopic pregnancy (EP) is a rare clinical form. This uterine rupture occurring after a wedge resection of the uterine horn, is a serious obstetric complication involving maternal and fetal vital prognosis and obstetric fate of patients in the absence of immediate management. Our observation concerned a 32-year-old gestant, G3P1 (without living children), with a history of interstitial EP dating back to 3 years during which a uterine wedge resection was performed. For this patient, a prophylactic caesarean was recommended between 36 and 37 weeks of amenorrhea. The patient presented during her prenatal follow-up at 37 weeks and 6 days, a complete uterine rupture involving the right uterine horn with the death of a fetus weighing 2900g. The rupture extended throughout the uterine horn, with the right uterine pedicle intact and the right fallopian tube absent. A conservative treatment of the uterus was decided since the patient had no living children. The purpose of our observation is to recall the risk of uterine rupture after cornual uterine excision hence the importance of performing during a EP if possible, a salpingectomy at the level of the uterine horn and if necessary coagulate the intramural portion of the tube. And also in case of uterine wedge resection, to hasten the prophylactic caesarean section as soon as sufficient maturity of the fetus to reduce the incidence of this pregnancy complication.

show abstract

Antepartum uterine rupture at 29 weeks gestation following unilateral salpingectomy and review of literature

Cited by 4 publications

References 14 publications

Uterine rupture during pregnancy: The URIDA (uterine rupture international data acquisition) study

Uterine rupture during pregnancy: The URIDA (uterine rupture international data acquisition) study

Misdiagnosis of a twin pregnancy with double-corner uterine rupture following salpingectomy and protrusion of the amniotic sac as an adnexal cyst: a case report

An Unusual Case of Spontaneous Uterine Rupture After a Salpingectomy Following an Interstitial Ectopic Pregnancy

Contact Info

Product

Resources

About