Intrapartum posterior uterine wall rupture in lower segment cesarean section scarred uterus

Abstract

examination showed two cystic tumors behind the uterus. Scand 84 2005

Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival

“…Three cases of posterior uterine rupture in spontaneous labour are also recorded [10, 12, 13]. In our patient's case the fetal head was occipitotransverse prior to rupture.…”

“…In our patient's case the fetal head was occipitotransverse prior to rupture. Fetal malposition with an occipitoposterior position has previously contributed to posterior uterine ruptures, as has malpresentation with a transverse lie and dead fetus [12, 13]. Malposition alters the distribution of contractile force and increases labour dystocia; certain malpresentations cause uterine hyperdistension, which may also precipitate atypical uterine rupture.…”

Posterolateral uterine rupture in scarred uterus complicated by external iliac vein injury

“…[2,4] Whereas, isolated posterior uterine rupture is a very rare condition in unscarred uterus and have even been documented only a number of times in scared uterus. [4,[6][7][8][9][10][11][12][13][14] The cause of posterior uterine rupture in a scarred uterus remains not fully understood. Literature review suggests that other than the previous CS, an additional factor usually seems to play a role in causing the atypical site rupture.…”

“…In some cases, the additional factors seem to be clear and could correlate with direct injury to the site of rupture, such as ectopic angular implantation, abnormal transverse fetal lie, or abnormal placentation. [5][6][7] However, in some cases the additional factors remain unclear. [8][9][10] In trial to explain the atypical site rupture in a scarred uterus, it has been suggested that the use of PG and/or oxytocin for induction could be the main factor.…”

A rare case of posterior uterine rupture with neonatal survival during trial of vaginal birth after cesarean section

“…[7][8][9] In cases of posterior UR in patients of VBAC published between 1997 and 2007. [10][11][12][13][14] It is possible that uterine over distension predisposes weak thinned out musculature to atypical UR. Hawe and Olah and Figueroa et al reported two cases of posterior UR with the use of prostaglandin for induction of labor.…”