Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy

Autor: Claire Sutton, Prue Standen, Jade Acton, Christopher Griffin
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Case Reports in Obstetrics and Gynecology, Vol 2016 (2016)
Druh dokumentu: article
ISSN: 2090-6684
2090-6692
DOI: 10.1155/2016/6195621
Popis: A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm. The neonate was transferred to the Special Care Nursery for neonatal care. The patient had an uncomplicated postoperative course and was discharged home three days following delivery. This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall.
Databáze: Directory of Open Access Journals