Rupture of the Posterior Cul-De-Sac During Spontaneous Labor
| Autor: | Brett C. Young, Kee-Hak Lim, Sarosh Rana, Tamara C. Takoudes |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
medicine.medical_specialty Uterus Cervix Uteri Pregnancy medicine Humans Fetal head Cervix Fetus Rupture Spontaneous Cesarean Section business.industry Obstetrics Infant Newborn Obstetrics and Gynecology medicine.disease Obstetric Labor Complications Surgery medicine.anatomical_structure Vagina Abdomen Gestation Female Tomography X-Ray Computed business |
| Zdroj: | Obstetrics & Gynecology. 115:414-417 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0b013e3181bd8a61 |
| Popis: | Background Women with genital anomalies are at increased risk of labor dysfunction. Rupture of the posterior cul-de-sac causing an intraabdominal delivery is a rare complication of labor that may be related to a congenitally atretic vagina. Case A nulliparous woman at 28 weeks of gestation with a known short vagina presented with preterm labor; her cervix could not be palpated or visualized. At cesarean delivery, the cervix was intraabdominal and the fetal head was delivered in the abdomen. A large rent in the posterior cul-de-sac required repair to restore correct anatomical positioning. The uterus was intact. Conclusion Rupture of the posterior cul-de-sac is a rare event that can cause significant maternal and fetal morbidity. |
| Databáze: | OpenAIRE |
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