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Spontaneous uterine rupture and surgical repair at 21 weeks gestation with progression to live birth: a case report

by Frecker, Helena , Berger, Howard , Satkunaratnam, Abheha , Hawkins, Lesley , Robertson, Deborah

in Abdomen / Adult / Case Report / Case reports / Female / Gestational Age / Gynecology / Health risk assessment / Humans / Hysterectomy / Live Birth / Maternal and Child Health / Maternal health and pregnancy / Medicine / Medicine & Public Health / NMR / Nuclear magnetic resonance / Patient Care Team / Pregnancy / Pregnancy Trimester, Second / Reproductive Medicine / Second trimester / Spontaneous uterine rupture / Uterine Myomectomy - adverse effects / Uterine rupture / Uterine Rupture - etiology / Uterine Rupture - surgery / Uterine wall defect

2018

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Spontaneous uterine rupture and surgical repair at 21 weeks gestation with progression to live birth: a case report

by Frecker, Helena , Berger, Howard , Satkunaratnam, Abheha , Hawkins, Lesley , Robertson, Deborah

2018

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Spontaneous uterine rupture and surgical repair at 21 weeks gestation with progression to live birth: a case report

by Frecker, Helena , Berger, Howard , Satkunaratnam, Abheha , Hawkins, Lesley , Robertson, Deborah

2018

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Journal Article

Spontaneous uterine rupture and surgical repair at 21 weeks gestation with progression to live birth: a case report

Frecker, Helena,

Berger, Howard,

Satkunaratnam, Abheha,

Hawkins, Lesley,

Robertson, Deborah

2018

Overview

Background Uterine rupture in the non-laboring uterus is a rare occurrence, which can lead to significant morbidity and mortality for the mother and fetus. Management of this presentation is complex at pre-viable gestations. Case presentation A 35 year old primigravid woman with multiple previous myomectomies presented with spontaneous complete thickness uterine rupture at 21 weeks gestation. A 10 cm myometrial defect and iatrogenic amniotomy were surgically corrected with fetal preservation. This led to pregnancy continuation to 32 weeks gestation when elective cesarean delivery resulted in excellent neonatal outcome. Conclusions Early surgical diagnosis, multidisciplinary team approach, iatrogenic amniotomy and continuous two-layer myometrial closure were factors that contributed to pregnancy prolongation in this large myometrial rupture.

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Publisher

BioMed Central,Springer Nature B.V,BMC

Subject

/ Adult

/ Female