Document Detail

Prenatal sonographic diagnosis of uterine rupture following open fetal surgery.
MedLine Citation:
PMID:  10912409     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Reported cases of uterine rupture diagnosed by ultrasound have shown fetal membranes ballooning through uterine rupture sites, or adjacent areas of hemorrhage. CASE: A 27-year-old gravida 3, para 2 had open fetal surgery to repair a fetal myelomeningocele at 28 weeks' gestation. Her postoperative course was complicated by threatened preterm labor and anhydramnios. At 33 weeks' gestation, with maternal symptoms of bowel obstruction, ultrasound showed a fetal leg and section of umbilical cord protruding through the uterine wall. CONCLUSION: Even in the presence of anhydramnios, uterine wall rupture was identified, because ultrasound evaluation of the uterine wall showed prolapsed fetal parts and umbilical cord. Persistent anhydramnios after open fetal surgery should prompt a search for uterine rupture.
A C Ranzini; M White; E R Guzman; W E Scorza
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  93     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1999 May 
Date Detail:
Created Date:  2000-08-08     Completed Date:  2000-08-08     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  826-7     Citation Subset:  AIM; IM    
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School/St. Peter's Medical Center, New Brunswick, USA.
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MeSH Terms
Diagnosis, Differential
Fetal Diseases / surgery*
Meningomyelocele / surgery*
Postoperative Complications*
Ultrasonography, Prenatal*
Uterine Rupture / ultrasonography*

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

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