Rupture utérine sur utérus sain: complication du misoprostol: à propos d’un cas et revue de la littérature

Autor: Abdelilah Melhouf, Hikmat Chaara, Meryem Belmajdoub, Fatima Zohra Fdili Alaoui
Rok vydání: 2018
Předmět:
Zdroj: Pan African Medical Journal. 31
ISSN: 1937-8688
DOI: 10.11604/pamj.2018.31.223.12906
Popis: Uterine rupture in patients with healthy uterus during the 2nd and 3rd trimester of pregnancy is a rare and severe obstetric complication involving maternal and fetal vital prognosis as well as obstetrical outcome of patients in the absence of diagnosis and early treatment. It mainly occurs in women who have had scarred uterus and it is anecdotal in those with healthy uterus. We report the case of a primiparous patient with unscarred uterus who had had uterine rupture during labour induction with misoprostol for fetal death in utero (FDIU) due to intrauterine growth retardation (IGR) and severe oligohydramnios at 31 weeks of amenorrhea (WA). This study and the literature review highlights the importance of administrating misoprostol for labour induction with extreme caution as well as the clinical features, the risk factors, the diagnostic method and the therapeutic treatment of this rare but potentially serious condition.
Databáze: OpenAIRE