scholarly journals An unusual cause for epigastric pain in pregnancy. Spontaneous uterine rupture with herniation of the amniotic sac in a 33-week primigravida

2014 ◽  
Vol 2014 (mar05 1) ◽  
pp. bcr2013202973-bcr2013202973 ◽  
Author(s):  
A. Al-Kufaishi ◽  
K. Erasmus ◽  
D. Carr ◽  
E. Owen
Keyword(s):  
Uterine Rupture ◽  
Epigastric Pain ◽  
Spontaneous Uterine Rupture ◽  
In Pregnancy

Spontaneous Uterine Rupture in Pregnancy After Endometrial Ablation

2010 ◽  
Vol 115 (Supplement) ◽  
pp. 405-406 ◽  
Author(s):  
Meaghan R. Bowling ◽  
Patrick S. Ramsey
Keyword(s):  
Uterine Rupture ◽  
Endometrial Ablation ◽  
Spontaneous Uterine Rupture ◽  
In Pregnancy

scholarly journals Unusual presentation of uterine rupture following laparoscopic myomectomy: a case report and literature review

2018 ◽  
Vol 7 (9) ◽  
pp. 3868
Author(s):  
Cassandra P. S. Cheong ◽  
Andy W.K. Tan ◽  
Lay Kok Tan ◽  
Su Ling Yu
Keyword(s):  
Uterine Rupture ◽  
Epigastric Pain ◽  
Case Reports ◽  
Mode Of Delivery ◽  
Laparoscopic Myomectomy ◽  
Haemodynamic Instability ◽  
Extensive Discussion ◽  
Presenting Symptoms ◽  
Spontaneous Uterine Rupture ◽  
Risk Of Rupture

Laparoscopic myomectomy is preferred to the laparotomy approach as the former promises a better postoperative course, with fewer complications and faster recovery. It is increasingly performed in younger women in recent years. However, although rare, uterine rupture is an important and dangerous complication. Authors report a case of 36-year-old lady who presented at 23 weeks and 4 days gestation of an in vitro fertilization (IVF) dichorionic diamniotic twin pregnancy with spontaneous uterine rupture. She underwent a laparoscopic myomectomy three year prior for a 4.5cm fundal fibroid. Her presenting symptoms include acute onset of epigastric pain. Uterine rupture was confirmed using Computed Tomography scan. She underwent an exploratory laparotomy and the placenta was found extruding from a 4cm defect on the posterior fundus along the previous myomectomy scar with active bleeding. Current literature suggests it is difficult to predict when uterine rupture may happen. Proper selection criteria for suitable cases may allow trial of labour after myomectomy to be a viable option. Potential considerations include interval between myomectomy and conception, scar integrity, method of repair, and the use of electrocoagulation. This case reports the worrying features of an early antepartum rupture presenting with atypical symptomatology. In pregnant patients presenting with abdominal pain or haemodynamic instability, it is imperative to consider uterine rupture so as to perform timely intervention. Those with a history of laparoscopic myomectomy should be considered high risk and counseled about the risk of rupture with extensive discussion about mode of delivery. 

Spontaneous combined bladder and uterine rupture in pregnancy

2009 ◽  
Vol 49 (2) ◽  
pp. 234-235 ◽  
Author(s):  
Fergus P. McCARTHY ◽  
Alex ADES ◽  
W. Catarina ANG
Keyword(s):  
Uterine Rupture ◽  
In Pregnancy

scholarly journals Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Claire Sutton ◽  
Prue Standen ◽  
Jade Acton ◽  
Christopher Griffin
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Uterine Rupture ◽  
Good Condition ◽  
Acute Onset ◽  
Uterine Wall ◽  
Unusual Presentation ◽  
Postoperative Course ◽  
Spontaneous Uterine Rupture ◽  
History Of

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.

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

2013 ◽  
Vol 40 (1) ◽  
pp. 243-246 ◽  
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

scholarly journals Uterine Rupture in Pregnancy; Imaging beyond Ultrasound

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Hind N Moussa ◽  
Susan Hosseini Nasab
Keyword(s):  
Uterine Rupture ◽  
In Pregnancy

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

2019 ◽  
Vol 12 (5) ◽  
pp. e228493 ◽  
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.

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