Occluded uterine rupture: Preventing catastrophe, preventing early diagnosis

Letter to “Complete rupture of unscarred uterus with delayed symptoms: Case report and possible mechanism”: Masked uterine rupture

“…We, to our knowledge, for the first time reported this concept and terminology 2,3 : uterine rupture occurred in a pregnant woman in the 34th gestational week at the site of previous myomectomy: tight intestinal adhesion there "occluded" the rupture and thus "masked" the manifestation of the rupture. 2,3 As previously cited, 2,3 occlusion can occur not only from outside but also from inside the uterus: protruding fetal minor parts or the placenta percreta "occluded" the rupture. Importantly, occlusion/masking not only prevents the acute occurrence of catastrophic events of uterine rupture but also it often prevents early diagnosis of rupture.…”