Primary complete colporrhexis in primigravida

Sharma, K.K.; Frith, Kathleen

doi:10.1111/j.1471-0528.1993.tb15184.x

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…Spontaneous colporrhexis was described in multiparous women especially in grandmultiparous women 3 and its occurrence in a primigravida is reported in only one case. 7 The aetiology of colporrhexis was well described in the 1950s 3 where it was stated that colporrhexis used to occur most commonly as an extension of cervical tear or lower uterine segment tear due to unskillful and brutal attempts at delivery of the fetus by instrumental means.…”

Section: Discussionmentioning

confidence: 99%

Primary complete colporrhexis

Maran¹,

Swapnaja²,

Mohanapriya³

2020

IJOGR

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Primary spontaneous colporrhexis is rare a condition characterised by rupture of the upper one third of the vaginal wall without extension from uterus or cervix in a parous women with an unscarred uterus. In our case the colporrhexis was also a complete one with rupture of the entire vaginal wall layers.A 31-year old, second gravida was booked in our hospital at 36 wks of gestation. She had no comorbities. She had previous full term normal vaginal delivery of an alive baby weighing 2.75kg.At 39 weeks and 4 days gestation she was admitted for induction of labour as she had borderline liquor. Induction was done with 2 doses of misoprostol 25mcg kept vaginally 4 hrs apart. 2 hours after placing the 2ndmisoprost she had spontaneous rupture of membranes with clear liquor draining PV. With strong uterine contractions. She delivered within 45 minutes a live healthy baby of 3kg weight. Placenta was delivered by AMTSL. Bleeding per vagina was within normal limits. During visualization of cervix and vagina prior to closure of episiotomy, omentum was seen coming out of upper part of posterior fornix of vagina. An irregular transverse rent was found and felt behind the cervix. Cervix was intact Uterus had contracted well. There was no excessive bleeding from vagina. Patients vitals were stable. Vagina was immediately packed and patient was shifted to OT after explaining about the unexpected complication and obtaining informed consent from patient and her relatives. Under anaesthesia, Visualisation of cervix and Examination of uterus was done. They were found to be intact. No extension of episiotomy seen. There was a transverse tear of 5 cm involving the posterior fornix. The left edge of the tear was found to be extending slightly upwards for about 2 cm. Omentum was seen protruding through the rent. The edges were dilineated, omentum was pushed inside. The delineated edges of the rent were sutured with 1-0 vicryl with intermittent sutures in two layers. Complete hemostasis was ensured.

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Section: Discussionmentioning

confidence: 99%

Primary complete colporrhexis

Maran¹,

Swapnaja²,

Mohanapriya³

2020

IJOGR

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“…In 1932, Mahfouz3 reported its association in 2.5% of uterine ruptures. Spontaneous colporrhexis was described in multiparous women especially in grandmultiparous women1 and its occurrence in a primigravida is reported in only one case 5…”

Section: Discussionmentioning

confidence: 99%

Unusual complication of vaginal delivery: is misoprostal the cause?: Figure 1

2012

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A 20-year-old primiparous woman who delivered vaginally in a private hospital 5 h ago was referred to our institute as a case of ruptured uterus. She was very pale and tachycardic with well-contracted uterus of 18-week size but had a cervical tear extending up to the left fornix. Examination under anaesthesia showed colporrhexis of posterior vaginal wall with intestines at the site of colporrhexis. Emergency laparotomy confirmed the above findings and also revealed intestinal gangrene involving more than 10 cm. Repair of colporrhexis, cervical tear and resection and anastomosis of small intestines was carried out. She gave a history of administration of five doses of vaginal misoprostal during labour and fundal pressure at the time of delivery. Literature review revealed that vaginal misoprostal can cause overgrowth of clostridial organisms by decreasing the macrophage function and thus can lead to developmental gangrene of reproductive tract and gastrointestinal tract.

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“…Colporrhexis [8,9], otherwise referred to as rupture of the vaginal vault, causing separation of cervix from the vaginal fornix is a rare, but dangerous complication of labor. Primary colporrhexis is defined as a tear limited to the vaginal vault without cervical or uterine extension.…”

Section: Discussionmentioning

confidence: 99%

“…Those of traumatic origin often result from unskillful obstetric maneuvers [8][9][10]. Complete colporrhexis involves the entire vaginal wall thickness including the overlying peritoneum; while in incomplete variety, only the vaginal mucosa and muscularis are involved [8,9].…”

Section: Discussionmentioning

confidence: 99%

Primary, Spontaneous, Complete Colporrhexis during Precipitate Vaginal Birth after Caesarean Section (VBAC)

Abdulsalam¹,

Lb²,

Z³

et al. 2017

JCR

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Background: Obstetric hemorrhage emerges as the most common cause of severe maternal morbidity and mortality around the globe. Colporrhexis or rupture of the vaginal vault is a rare, but dangerous complication of labor and is a rare cause of postpartum hemorrhage. Case Report: We hereby report 32 years old second gravida undergoing vaginal birth after cesarean section, who in second stage of labor sustained a spontaneous posterior vaginal wall tear extending in to the posterior fornix opening into the pouch of Douglas, which was managed successfully by both vaginal and abdominal approach. Conclusion: This case-study also highlights the importance of quality of care as one of the determinants of phase III delay affecting the prognosis and outcomes while caring for near misses in obstetrics.

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Primary complete colporrhexis in primigravida

Cited by 5 publications

References 5 publications

Primary complete colporrhexis

Primary complete colporrhexis

Unusual complication of vaginal delivery: is misoprostal the cause?: Figure 1

Primary, Spontaneous, Complete Colporrhexis during Precipitate Vaginal Birth after Caesarean Section (VBAC)

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