Spontaneous rupture of unscarred uterus in early pregnancy

Singh, Abha; Jain, Sandhi

doi:10.1034/j.1600-0412.2000.079005431.x

Cited by 10 publications

(10 citation statements)

References 3 publications

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“…In humans, the incidence of the rupture of the pregnant uterus is 0.03-0.04%, and although it is an infrequent complication of pregnancy, it can lead to maternal or fetal mortality or serious morbidity (Ayres et al, 2001;Turner, 2002). In literature there have been various definitions for uterine rupture (Garnet, 1964;Singh and Sandhi, 2000), yet the most reasonable definition was given in human medicine as: "complete separation of the wall of the pregnant uterus, with or without expulsion of the fetus, which endangered the life of the mother and/or fetus" (Plauchè et al, 1984). It is such an important complication of pregnancy that all cases should be individually reviewed and subjected to local audit (Turner, 2002).…”

Section: Discussionmentioning

confidence: 99%

Traumatic uterine rupture in a queen at early stage of pregnancy

Cesaris¹,

Bresciani²,

Parmigiani³

et al. 2018

J Hellenic Vet Med Soc

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ABSTRACT. The rupture of a pregnant uterus is a rare complication of pregnancy, which can result in the death of the mother and the fetus. This life threating condition generally occurs during late pregnancy, it can be asymptomatic and scarred uteruses have been reported as incidental findings during abdominal surgery. This clinical case describes a queen with vulvar bleeding during the early stage of pregnancy. Wall laceration of a pregnant uterus was diagnosed by means of an ultrasound examination. During ovariohysterectomy two uterine ruptures, fragments of the great omentum were found sequestering embryonic tissue. Histopathology showed that the uterine wall was torn in the same place where two embryonic implantations were found and residues of embryonic tissue were observed. This clinical case shows that when a traumatic injury is reported, the mandatory abdomen investigations should evaluate the condition of the uterus and determine the early stage of a pregnancy.

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Section: Discussionmentioning

confidence: 99%

Traumatic uterine rupture in a queen at early stage of pregnancy

Cesaris¹,

Bresciani²,

Parmigiani³

et al. 2018

J Hellenic Vet Med Soc

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“…7 Singh et al and Kahyaoglu et al previously reported uterine rupture cases with uterine anomaly in the first trimester. 8,9 Tola presented a case at 12 weeks of gestation with bicornuate uterus. In this case 2 cm fundal uterine rupture in the left part of the uterus was repaired.…”

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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“…La rotura espontánea del útero durante el primer trimestre es extremadamente rara (9). En la literatura hay sólo 8 casos reportados, y de ellos, tres refieren el antecedente de al menos una cicatriz uterina anterior (7,8).…”

Section: Discussionunclassified

“…La aparición de este cuadro en el primer trimestre del embarazo es extremadamente rara, encontrándose aislados casos reportados en la literatura (6)(7)(8)(9)(10).…”

Section: Introductionunclassified

Rotura Uterina Espontánea en El Primer Trimestre Del Embarazo

et al. 2008

Rev. chil. obstet. ginecol.

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RESUMENLa rotura uterina es una complicación obstétrica infrecuente, pero potencialmente letal para la madre y el feto. Ocurre principalmente durante el segundo o tercer trimestre, asociada a factores de riesgo, entre los que destaca la cirugía uterina previa. Su aparición durante el primer trimestre es excepcional, constituyendo un desafío médico por su difícil diagnóstico diferencial y controversial manejo. Se presenta el caso de una paciente con rotura espontánea de útero grávido de 10 semanas de gestación, portadora de triple cicatriz anterior. El diagnóstico fue intraoperatorio, tras la descompensación hemodinámica de la paciente. El manejo incluyó el cierre primario de la lesión y observación posterior. Al sexto día se constata la muerte fetal y se efectúa el vaciamiento de la cavidad uterina. La falla de las medidas conservadoras obligó finalmente a realizar una histerectomía obstétrica. La histopatología informó placenta acreta.PALABRAS CLAVE: Rotura uterina del primer trimestre, placenta acreta SUMMARY Uterine rupture is an uncommon obstetric event, but still potentially lethal for the mother and the fetus. It presents mainly during the second or third trimester and is associated with several risk factors, being a previous uterine scar the most important of them. Its presentation during the first trimester is exceptional, and it constitutes a medical challenge, because of its difficult differential diagnosis and controversial management. A case of a multiparous, previous triple scar woman is presented, with a spontaneous uterine rupture at 10 weeks of pregnancy. In this case the diagnosis was made during surgery, after the patient's hemodynamic decompensation. The management included primary closure of the lesion and observation; when fetal death was confirmed, dilatation and curettage of the cavity had to be performed. Because of the failure of conservative management, an obstetric hysterectomy was carried out. Histopathology reported placenta accreta.KEY WORDS: First trimester uterine rupture, placenta accreta

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Spontaneous rupture of unscarred uterus in early pregnancy

Cited by 10 publications

References 3 publications

Traumatic uterine rupture in a queen at early stage of pregnancy

Traumatic uterine rupture in a queen at early stage of pregnancy

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

Rotura Uterina Espontánea en El Primer Trimestre Del Embarazo

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