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

Suner, Selim; Jagminas, Liudvikas; Peipert, Jeffrey F.; Linakis, James G.

doi:10.1016/0736-4679(95)02091-8

Cited by 33 publications

(32 citation statements)

References 15 publications

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“…The majority of uterine dehiscences and ruptures in scarred uteri occur via the uterine scar (specifically from caesarean section). Rupture of a uterus without prior scarring has been described as significantly more severe than rupture of a scarred uterus, with higher rates of maternal and fetal morbidity (13,14) . The inelastic nature of the scar and its atrophy make it less adapted to labor's forces, and so predisposing to scar rupture.…”

Section: Discussionmentioning

confidence: 99%

“…Initial treatment in a case of uterine rupture should be aimed at stabilization of the patient, with the aggressive replacement of fluid with crystalloid and blood products (15,16) . Early diagnosis and deciding to proceed with surgical intervention can be lifesaving (13,17) . PPH can lead to fatal quick exsanguination in spite of the availability of blood products.…”

Section: Discussionmentioning

confidence: 99%

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Internal Iliac Artery Ligation as lifesaving Procedure for Spontaneous Posterior Uterine Rupture on Scarred Uterus in Labor Following a Hysterectomy for Managing a Severe Postpartum Hemorrhage

Bhihi¹,

Zoubairi²,

Elazzaoui³

et al. 2017

IAM

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Nowadays, the uterine rupture is a situation world widely encountered especially in low-income countries. Postpartum hemorrhage that the uterine rupture leads to is frequently severe and life threatening. The aim of medical and surgical conservative methods is to preserve the uterus and the fertility. However, sometimes, the surgeon has to perform a hysterectomy and even completing with the unilateral or bilateral internal iliac artery ligation to manage the blood loss which may last in some cases after hysterectomy. Here we present a 34 years old pregnant woman with previous cesarean delivery scar for a twin pregnancy, admitted in advanced labor for term pregnancy with a posterior uterine rupture of 12 cm and abdominal expulsion of a dead male fetus with a lesion fusing to the right vaginal angle, with intact lower segment scar. The hemostatic subtotal hysterectomy was performed with the failure of handling the vaginal bleeding. At last, a bilateral internal iliac artery ligation was performed to ensure successful hemostasis and maternal lifesaving.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Internal Iliac Artery Ligation as lifesaving Procedure for Spontaneous Posterior Uterine Rupture on Scarred Uterus in Labor Following a Hysterectomy for Managing a Severe Postpartum Hemorrhage

Bhihi¹,

Zoubairi²,

Elazzaoui³

et al. 2017

IAM

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“…11,12 Regarding treatment, hysterectomy is probably the best option for long-term outcome, as previously reported. 13 Numbers of attempts have been made to treat placenta increta with various drugs to allow the pregnancy to continue.…”

Section: Discussionmentioning

confidence: 99%

Case report on placenta accreta presenting obstetric emergency

Kaur¹

2017

Int J Reprod Contracept Obstet Gynecol

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Placenta accreta is a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management. As the incidence of Caesarean have increased, Placenta accreta also has increased and considered as an important cause of maternal and fetal/neonatal morbidity and mortality. Although multiple caesarean deliveries are at the largest risk factor for the placenta accreta, increasing maternal age and parity, as well as other uterine surgeries are also important. In Patient at risk for accreta, obstetrical ultrasonography performed by an experienced provider should be obtained. A multidisciplinary team in a centre with expertise in managing placenta accreta should care for case of suspected accreta.

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“…4 Uterine scar is the most important risk factor for rupture. 1 It is reported that spontaneous rupture of unscarred uterus occurs in 1 in 15,000.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Uterine Rupture with Retroperitoneal Hematoma in the First Trimester: Case Report

Akbaş¹,

Ömeroğlu²,

Birge³

2015

Turkiye Klinikleri J Gynecol Obst

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

Cited by 33 publications

References 15 publications

Internal Iliac Artery Ligation as lifesaving Procedure for Spontaneous Posterior Uterine Rupture on Scarred Uterus in Labor Following a Hysterectomy for Managing a Severe Postpartum Hemorrhage

Internal Iliac Artery Ligation as lifesaving Procedure for Spontaneous Posterior Uterine Rupture on Scarred Uterus in Labor Following a Hysterectomy for Managing a Severe Postpartum Hemorrhage

Case report on placenta accreta presenting obstetric emergency

Spontaneous Uterine Rupture with Retroperitoneal Hematoma in the First Trimester: Case Report

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