Document Detail


Prelabor third-trimester uterine rupture in an unscarred uterus with occlusion by fetal small parts: a case report.
MedLine Citation:
PMID:  21043372     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Rupture of an unscarred uterus is a rare and potentially catastrophic event. Common presenting signs and symptoms include abdominal pain, fetal heart rate abnormalities, and evidence of hypovolemia.
CASE: A woman with a history of 2 prior uncomplicated first-trimester pregnancy terminations presented several years later at 32 weeks' gestation with abdominal pain and no other evidence of uterine rupture. Her clinicians suspected appendicitis, and computed tomography revealed a circular fundal uterine rupture occluded by extrusion of the fetal legs through the defect. Emergent cesarean delivery resulted in a good outcome for mother and baby.
CONCLUSION: Clinicians should consider uterine rupture as a possible diagnosis when patients present with abdominal pain, even without common risk factors linical evidence of a ruptured uterus.
Authors:
Leslie Blihovde; Justin Tawfik; D Ashley Hill
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  55     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-11-03     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  437-40     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Florida Hospital Graduate Medical Education Program, Florida Hospital, Orlando, Florida 32804, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Cesarean Section
Female
Humans
Pregnancy
Pregnancy Trimester, Third*
Tomography, X-Ray Computed*
Uterine Rupture / radiography*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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