Spontaneous uterine rupture in a primigravid woman in the early third trimester attributed to adenomyosis: A case report and review of the literature
| Autor: | George Adonakis, Helen P. Kourea, George Decavalas, Kostas Antonopoulos, Katerina Geronatsiou, Marinos Nikolaou |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty Pregnancy Trimester Third Gravidity Uterine Rupture Pregnancy medicine Humans Adenomyosis Hemoperitoneum Gynecology Fetus Obstetrics business.industry Peritoneal fluid Uterus Obstetrics and Gynecology Gestational age Fetal Bradycardia medicine.disease Uterine rupture Female medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 39:727-732 |
| ISSN: | 1447-0756 1341-8076 |
| DOI: | 10.1111/j.1447-0756.2012.02042.x |
| Popis: | We report a rare case of spontaneous uterine rupture of an unscarred uterus caused by adenomyosis in the early third trimester. A 33-year-old primigravid woman was referred to our department because of severe acute abdominal pain and signs and symptoms of hemorrhagic shock. Ultrasound exanimation performed at admission revealed a living, intrauterine fetus of 28 weeks gestational age with reduced amniotic fluid and presence of free peritoneal fluid. The fetal heart rate was non-reassuring with variable decelerations and severe fetal bradycardia. Emergency cesarean section revealed massive hemoperitoneum and complete rupture in the uterine fundus. Subtotal peripartum hysterectomy with conservation of adnexae was performed. Histological examination revealed adenomyosis at the site of uterine rupture. |
| Databáze: | OpenAIRE |
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