À propos d’un cas de rupture utérine per-partum, 37 mois après une résection d’un nodule recto-vaginal d’endométriose

Autor: N. Agar, G. Piquier-Perret, Denis Gallot, S Curinier, Jean-Luc Pouly, C. Houlle, O. Delépine, Michel Canis
Rok vydání: 2016
Předmět:
Zdroj: Journal de Gynécologie Obstétrique et Biologie de la Reproduction. 45:985-989
ISSN: 0368-2315
DOI: 10.1016/j.jgyn.2016.06.007
Popis: Endometriosis is a common condition in women, whose main repercussions are painful symptoms. In addition, it was shown that endometriosis was a major cause of infertility and various obstetric complications could be related to this pathology. Uterine rupture is a rare but serious complication whose incidence tends to decrease with the screening of women at risk, however, its fetal, maternal morbidity and mortality causes remains important. We were confronted with a case of posterior uterine rupture in a patient of 36 years, primipare term exceeded in immediate postpartum period. The patient's primary antecedent of uterine surgery torus was responsible for infertility endometriosis. The outcome was favorable for the mother, after a surgical treatment by laparotomy, and for the child. In the literature, two cases have been reported of uterine rupture after endometriosis surgery, which is why we found it interesting to report this rare case. Given the increase in surgical management of this disease, it seems relevant to ask whether, in the future, we should be more vigilant in monitoring pregnancy for these women.
Databáze: OpenAIRE