Silent spontaneous posterior uterine rupture of a prior caesarean delivery at 36 weeks of gestation

Autor:	Shao Hui Chen, Xiu Ping Du
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Uterine rupture Pregnancy Caesarean section Gynecology and obstetrics RG1-991
Zdroj:	BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-3 (2019)
Druh dokumentu:	article
ISSN:	1471-2393
DOI:	10.1186/s12884-019-2180-3
Popis:	Abstract Background In caesarean section patients, the spontaneous rupture of the posterior wall of the uterus is extremely rare, with nonspecific signs and symptoms being present. Perinatal and maternal morbidity and mortality are high. Case presentation A 28-year-old woman at 36 + 6 weeks of gestation presented with mild uterine contractions and developed a sudden abdominal distension. An emergency laparotomy was performed, and the posterior wall of the uterus had ruptured. A baby boy was born. Conclusion Silent uterine rupture is very rare and easy to ignore due to nonspecific clinical symptoms, unexplained haemoglobin reduction and haemoperitoneum, but these features caution us to more closely consider uterine rupture in patients.
Databáze:	Directory of Open Access Journals
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