Spontaneous Rupture of the Anterior Vaginal Wall during the First Stage of Labour

The risk of uterine rupture during attempted trial of labor after caesarean delivery (TOLAC) is well documented. However, vaginal rupture (in the absence of obstructed labour) is exceptionally uncommon. Below is described the rare case of a 37-year-old multiparous woman attempting TOLAC, who suffered a vaginal—rather than uterine—rupture, during the first stage of spontaneous labour. This case is an important reminder to obstetricians that concealed ruptures of both the vagina and uterus do occur and must be considered in clinical situations where another explanation is not apparent.

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Spontaneous rupture of uterus in the bitch at parturition with evisceration of puppy intestine – a case report

Veterinární Medicína ◽

10.17221/5600-vetmed ◽

2012 ◽

Vol 50 (No. 2) ◽

pp. 85-88 ◽

Cited By ~ 2

Author(s):

J. Hajurka ◽

V. Macak ◽

V. Hura ◽

L. Stavova ◽

R. Hajurka

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Umbilical Cord ◽

Uterine Rupture ◽

Spontaneous Rupture ◽

Caesarean Delivery ◽

Uterine Wall ◽

Uterine Horn ◽

Small Curvature ◽

Rupture Of Uterus

A rupture of one uterine horn at the region of small curvature and placentation was observed in a pregnant 8-year old Schnauzer bitch carrying a single foetus. It occurred at its second parturition. The first whelping at the age of 3 years had been without complications and the bitch reared eleven puppies. The uterine rupture occurred at the puppy’s umbilical cord. An urgent obstetrical examination revealed one dead foetus in anterior presentation and ventral position. Caesarean delivery was indicated. Evisceration of puppy’s intestine through its ruptured abdominal wall at the umbilical cord could be observed through the uterine wall rupture of 1.5 cm in diameter. The bitch underwent hysterectomy and recovered without complications.

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Leiomyoma of the anterior vaginal wall: a rare case

Babcock University Medical Journal (BUMJ) ◽

10.38029/bumj.v4i2.90 ◽

2021 ◽

Vol 4 (2) ◽

pp. 107-111

Author(s):

Saheed Olanrewaju Jimoh ◽

GRACE GWABACHI EZEOKE ◽

OLAYINKA RABIU BALOGUN ◽

ADEMOLA POPOOLA ◽

ABIODUN SULEIMAN ADENIRAN ◽

...

Keyword(s):

Rare Case ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Reproductive Age ◽

Uterovaginal Prolapse ◽

Diagnostic Challenge ◽

Complete Excision ◽

Case Presentation ◽

High Index Of Suspicion ◽

Lying Down

Background: Leiomyoma is a benign smooth muscle mesenchymal tumor, usually of uterine origin but may rarelydevelop in the vaginal walls. Case presentation: A case of 40-year-old para 5+0 woman with anterior vaginal wall leiomyoma is reported. Thepresentation mimics that of uterovaginal prolapse and hence presents a diagnostic challenge. The unusualappearance of the protrusion, failure to reduce at any time even while lying down, and complete absence of urinarysymptoms raised the suspicion of a rare case. The diagnosis was made through examination under anesthesia,cystoscopy, and biopsy. Histological examination of the biopsy specimen confirmed vaginal wall leiomyoma. Thepatient had complete excision of the mass without any complications. Discussion and Conclusion: Vaginal wall leiomyoma is a rare benign vaginal lesion that can easily bemisdiagnosed. Diagnosis involves critical clinical evaluation, especially during pelvic examinations. Any vaginalprotrusion should be approached with a high index of suspicion, especially in patients of reproductive age.

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