Uterine repair and successful pregnancy after myometrial and placental rupture with massive haemoperitoneum

Palacios-Jaraquemada, JM; Fiorillo, Angel; Petery, Felicitas von; Colaci, Daniela; Leguizamón, Gustavo

doi:10.1111/j.1471-0528.2008.01980.x

Cited by 22 publications

(16 citation statements)

References 11 publications

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“…The presence of a uterine scar is a strong risk factor for uterine dehiscence, which is defined as separation of the scar through the myometrium with preservation of an intact endometrial cavity. Uterine rupture implies complete opening through the endometrium, enabling expulsion of intrauterine contents and increasing risk of intraperitoneal hemorrhage [6, 7]. Along with a history of cesarean section, other risk factors for uterine rupture include cornual resection, myomectomy, and iatrogenic uterine perforation [8].…”

Section: Discussionmentioning

confidence: 99%

Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin

Lincenberg

Behrman

Bembry

et al. 2016

Case Reports in Obstetrics and Gynecology

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Background. Heterotopic pregnancy is a multiple gestation with both intrauterine and ectopic fetuses. A cesarean scar ectopic pregnancy is when the fetus has implanted over the previous hysterotomy site. A known complication of cesarean scar ectopic pregnancy is uterine rupture, which can cause great morbidity and mortality. Case. 28-year-old G5P3105 at 10 weeks with a dichorionic diamniotic gestation was found to have a ruptured uterus with expulsion of a cesarean scar ectopic pregnancy and retention of the intrauterine fetus. After uterine repair, the singleton gestation reached viability was delivered by emergent cesarean section for placental abruption. Conclusion. Safe management of cesarean ectopic pregnancy requires early diagnosis by ultrasonography. With early detection, management can focus on preventing maternal morbidity of uterine rupture and life-threatening hemorrhage.

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Section: Discussionmentioning

confidence: 99%

Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin

Lincenberg

Behrman

Bembry

et al. 2016

Case Reports in Obstetrics and Gynecology

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“…The causes and management of spontaneous hemoperitoneum post second trimester were reviewed (Table 1) [2345678910111213]. …”

Section: Discussionmentioning

confidence: 99%

A case of spontaneous hemoperitoneum by uterine vessel rupture in pregnancy

et al. 2016

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A 27-year-old pregnant woman, para 1, was transferred to our hospital at 29+3 weeks of gestation complaining of abdominal pain. She was diagnosed with hemoperitoneum based on ultrasonography. An emergency laparotomy was performed, and the bleeding was confirmed to be caused by ruptured surface blood vessels on the uterine fundus. Hemostasis with compression was successfully performed to sustain the pregnancy, and the patient delivered a full-term baby. Spontaneous hemoperitoneum during pregnancy caused by rupture of uterine blood vessels is very rare. It requires rapid diagnosis and surgical treatment because it increases the morbidity of the fetus and mother. In most incidences of spontaneous hemoperitoneum during pregnancy, a cesarean delivery is performed along with a simultaneous emergency laparotomy. However, in this case, the pregnancy was maintained to full term after surgical hemostasis, which prevented neonatal complications due to premature birth.

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“…There have been several reports,9 11 12 13 14 concerning repair of uterine ruptures in the second trimester using suture and/or patching. These five cases and our case are reviewed and summarized in Tables 1 and 2.…”

Section: Discussionmentioning

confidence: 99%

Repair of Uterine Rupture during Second Trimester Leading to Successful Pregnancy Outcome: Case Study and Literature's Review

2013

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It was thought to be impossible to prolong the pregnancy in a case of uterine rupture in the second trimester. We encountered a case of rupture of the pregnant uterus in early mid-trimester, which we repaired with suture and overlapping of collagen fleece coated with fibrin glue, resulting in pregnancy prolongation until the 34th week. Our case and five previously reported cases were reviewed. Pregnant uterine rupture in mid-trimester could be repaired with suture and overlapping of collagen fleece in the absence of placenta percreta.

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Uterine repair and successful pregnancy after myometrial and placental rupture with massive haemoperitoneum

Cited by 22 publications

References 11 publications

Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin

Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin

A case of spontaneous hemoperitoneum by uterine vessel rupture in pregnancy

Repair of Uterine Rupture during Second Trimester Leading to Successful Pregnancy Outcome: Case Study and Literature's Review

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