Spontaneous Rupture of an Unscarred Gravid Uterus in a Primigravid Woman at 32 Weeks of Gestation

Mizutamari, Etsuko; Honda, Takeshi; Ohba, Takayoshi; Katabuchi, Hidetaka

doi:10.1155/2014/209585

Cited by 25 publications

(24 citation statements)

References 13 publications

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“…Operative findings during emergent cesarean section revealed a 2‐cm uterine perforation at the right corneal area and the left side of the corneal area was also focally thin. Additionally, the corneal ends of both fallopian tubes were closer to the midline of the uterus than normal, indicating that Mullerian duct anomalies may lead to focal weakness of the bilateral corneal uterine myometrium . Different from the case mentioned above, we reported a case of congenital and symmetrical uterine defect, which has never been reported before.…”

Section: Discussioncontrasting

confidence: 61%

Herniation of the amniotic sac through congenital uterine defect confirmed during operation: A case report

Sun

Liu

et al. 2018

J of Obstet and Gynaecol

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Herniation of the amniotic sac into the peritoneal cavity or bladder is a rare but serious condition during pregnancy, which has not been reported in pored congenital uterine anomaly. Here, we report a rare case to draw obstetricians' attention to the atypical uterine rupture. A primigravida at 35 weeks of gestation was admitted for upper abdominal pain. A primary diagnosis of uterine rupture was made after finding the amniotic sac herniation through obstetric ultrasound. Exploration during emergent cesarean section revealed symmetrical pored defect on the uterine horn. The diagnosis of uterine anomaly was eventually made. The educational meaning of this rare case is that it is advisable to rule out uterine anomalies when signs of uterine rupture are suspected during pregnancy while contributory risk factors have not been identified. Besides, it is of vital importance to make a full assessment of both the mother and the fetus so to determine the appropriate time of termination.

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Section: Discussioncontrasting

confidence: 61%

Herniation of the amniotic sac through congenital uterine defect confirmed during operation: A case report

Sun

Liu

et al. 2018

J of Obstet and Gynaecol

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“…5 Unscarred uterine rupture is rare, however, risk factors identified are multiparity, injudicious use of oxytocin, obstetric manoeuvres, chronic steroid use, Ehlers Danlos Syndrome, obstructed labour, uterine anomalies and abnormal placentation. [6][7][8][9][10][11][12][13][14] The high parity is recognised as a major risk factor for unscarred uterine rupture and majority of ruptures occur in term pregnancies at the time of labour. There have, however, been few case reports of uterine rupture in non-labouring patients.…”

Section: Discussionmentioning

confidence: 99%

“…Uterine rupture in unscarred uterus has been reported to be mostly associated with uterine anomaly, however, a few cases with no previous risk factors were also identified. 11,12 On literature search from PUBMED from 1990 till 2015 using MESH terms "unscarred uterine rupture", 13 cases in second trimester were identified. In majority (7 cases) abnormalities of placenta like placenta accreta, placenta percreta were identified as risk factors.…”

Section: Discussionmentioning

confidence: 99%

Unscarred uterine rupture - rare entity

Pandey

Pruthi

2016

Int J Reprod Contracept Obstet Gynecol

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“…[2] Recently, a case report indicated spontaneous UR at 32 weeks' gestation in a patient with an unrecognised Müllerian tract anomaly. [3] Use or abuse of misoprostol for induction of labour has also been reported as a cause of UR in primigravidas. [2] In low-and middle-income countries such as South Africa (SA), it has been found that some patients use traditional medicines containing various decoctions made from medicinal plants to either improve fetal growth or induce labour.…”

Section: Discussionmentioning

confidence: 99%

Uterine rupture in a primigravida term pregnancy: A case report and lessons to learn

et al. 2015

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Spontaneous uterine rupture (UR) in primigravidas with term pregnancies is a rare occurrence, but is increasing in frequency in high-income countries as a result of a concomitant rise in rates of gynaecological uterine surgery. We present a case from a low-and middle-income country of spontaneous UR at term with no known markers of such an adverse event. The spontaneous UR may have been due to the ingestion of traditional medicines. Health professionals and the community at large must be alerted to the possible dangers of the use of such medications in pregnancy. Recently there has been an increasing number of reports from high-income countries of spontaneous uterine rupture (UR) in term primigravidas. These reports relate mainly to women who have had uterine surgery such as hysteroscopic surgery, myomectomies, surgical correction of uterine anomalies and inadvertent uterine perforation. [1,2] We report a case of UR in a primigravida at term, which was probably due to the use of traditional/herbal medications, a common practice in low-and middle-income countries. S Afr J Obstet Gynaecol Case historyA 21-year-old primigravida presented to our hospital at 37 weeks' gestation with severe lower abdominal pain and vaginal bleeding. She had clinical and ultrasound features suggestive of hypovolaemic shock and intra-abdominal bleeding, and required an emergency laparotomy. History of presenting complaintOn the day of admission to our hospital, the patient reported lack of fetal movements but described what she felt as the baby 'moving up and down' in the upper abdomen. The patient stated that she had ingested half a cup of traditional medication (isiShlambezo; loosely translated this means 'that which cleans') the day before her hospital visit and had noticed increasing intensity of abdominal pain a few hours later. In the last month of her pregnancy she had also ingested a beaten-egg concoction daily, which her family had suggested would help to hasten her labour.The patient had received antenatal care at our hospital; no abnormalities were detected on physical examination at the first antenatal visit and her basic antenatal laboratory investigations were normal. She had had two non-scheduled visits to our hospital in the last trimester of pregnancy for lower abdominal pains prior to admission. At the first non-scheduled visit she was found to be 36 weeks pregnant by symphysis-fundal height assessment and the fetus was lying in the longitudinal position with the cephalus presenting. At this consultation a diagnosis of false labour was made and the patient was counselled on signs of labour and given an appointment to return in a week's time. On her second non-scheduled hospital visit she also complained of persistent lower abdominal pains and backache. According to early ultrasound findings she was 37 weeks pregnant by gestation and 38 by symphysis-fundal height measurement; pelvic examination revealed the cervical os to be closed. The patient was again thought to be in false labour and asked to return when she was in ...

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Spontaneous Rupture of an Unscarred Gravid Uterus in a Primigravid Woman at 32 Weeks of Gestation

Cited by 25 publications

References 13 publications

Herniation of the amniotic sac through congenital uterine defect confirmed during operation: A case report

Herniation of the amniotic sac through congenital uterine defect confirmed during operation: A case report

Unscarred uterine rupture - rare entity

Uterine rupture in a primigravida term pregnancy: A case report and lessons to learn

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