Spontaneous Uterine Rupture in Pregnancy After Endometrial Ablation

A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm. The neonate was transferred to the Special Care Nursery for neonatal care. The patient had an uncomplicated postoperative course and was discharged home three days following delivery. This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall.

Download Full-text

Spontaneous uterine rupture at 32 weeks of gestation after previous uterine artery embolization

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.12122 ◽

2013 ◽

Vol 40 (1) ◽

pp. 243-246 ◽

Cited By ~ 17

Author(s):

Jun Takeda ◽

Shintaro Makino ◽

Atsuyuki Ota ◽

Tetsuo Tawada ◽

Naoki Mitsuhashi ◽

...

Keyword(s):

Uterine Rupture ◽

Uterine Artery Embolization ◽

Uterine Artery ◽

Artery Embolization ◽

Spontaneous Uterine Rupture

Download Full-text

Sonographic diagnosis of spontaneous uterine rupture at the site of cornual wedge resection scar - a case report

Australasian Journal of Ultrasound in Medicine ◽

10.1002/j.2205-0140.2014.tb00084.x ◽

2014 ◽

Vol 17 (1) ◽

pp. 45-48 ◽

Cited By ~ 3

Author(s):

Deborah Wye ◽

Robert Magotti ◽

Dheya Al-Mashat ◽

Ronald Benzie ◽

George Condous

Keyword(s):

Case Report ◽

Uterine Rupture ◽

Wedge Resection ◽

Sonographic Diagnosis ◽

Spontaneous Uterine Rupture

Download Full-text

Uterine Rupture in Pregnancy; Imaging beyond Ultrasound

Journal of Neonatal Biology ◽

10.4172/2167-0897.1000224 ◽

2016 ◽

Vol 5 (3) ◽

Author(s):

Hind N Moussa ◽

Susan Hosseini Nasab

Keyword(s):

Uterine Rupture ◽

In Pregnancy

Download Full-text

Spontaneous rupture of an unscarred uterus in early pregnancy: a rare but life-threatening emergency

BMJ Case Reports ◽

10.1136/bcr-2018-228493 ◽

2019 ◽

Vol 12 (5) ◽

pp. e228493 ◽

Cited By ~ 2

Author(s):

Bedayah Amro ◽

Ghassan Lotfi

Keyword(s):

Early Pregnancy ◽

Uterine Rupture ◽

Laparoscopic Approach ◽

First Trimester ◽

Rare Occurrence ◽

Spontaneous Uterine Rupture ◽

First Case ◽

Life Threatening ◽

First Trimester Of Pregnancy ◽

Underlying Risk

Spontaneous uterine rupture during early pregnancy is an extremely rare occurrence and may vary in presentation and course of events, hence the clinical diagnosis is often challenging. We present our experience with two such cases of spontaneous uterine rupture in the first trimester of pregnancy without any identifiable underlying risk factors. The first case was at 12 weeks of gestation and the second case was at 6 weeks gestational age (GA). Both cases were diagnosed and managed by the laparoscopic approach. We are reporting the earliest documented GA in which spontaneous uterine rupture occurred. So far, the earliest GA reported in the literature according to our knowledge was at 7+3 weeks. Access to a laparoscopic facility is crucial in the early definitive diagnosis and prompt management of these cases, since this may significantly reduce the risk of severe morbidity and mortality.

Download Full-text