| Extrauterine pregnancy resulting from late spontaneous rupture of an unscarred gravid uterus: case report. | |
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MedLine Citation:
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PMID: 19860369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Rupture of the unscarred grand uterus is a rare obstetric event associated with major perinatal mortality and a high incidence of maternal mortality and morbidity, particularly peripartum hysterectomy. METHODS & RESULTS: We present the case of a primigravida woman who was admitted at 38 weeks of gestation complaining of intermittent abdominal pain and vaginal bleeding. Although initial evaluation suggested that both mother and fetus were doing well, continuous assessment resulted in cesarean section due to variable decelerations and increasing abdominal pain. An unexpected abdominal pregnancy was discovered resulting from a complete uterine rupture. A healthy infant was delivered and hysterectomy was performed. CONCLUSION: Although extrauterine advanced abdominal pregnancy resulting from late uterine rupture is associated with high maternal and perinatal mortality, a high index of suspicion, close surveillance and ultrasonography can achieve good outcome for both mother and infant. We strongly believe, that this case report contributes to the insight and further knowledge of this rare pregnancy complication. |
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Authors:
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N Thomakos; K Kallianidis; Z Voulgaris; P Drakakis; N Arefetz; A Antsaklis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical and experimental obstetrics & gynecology Volume: 36 ISSN: 0390-6663 ISO Abbreviation: Clin Exp Obstet Gynecol Publication Date: 2009 |
Date Detail:
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Created Date: 2009-10-28 Completed Date: 2009-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802110 Medline TA: Clin Exp Obstet Gynecol Country: Italy |
Other Details:
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Languages: eng Pagination: 192-3 Citation Subset: IM |
Affiliation:
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1st Department of Obstetrics and Gynecology, University of Athens, Medical School, Alexandra Hospital, Athens, Greece. thomakir@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section Female Humans Hysterectomy Infant, Newborn Male Pregnancy Pregnancy Trimester, Third Pregnancy, Ectopic* Uterine Rupture* |
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