Document Detail

Rupture of bicornuate uterus.
MedLine Citation:
PMID:  22675095     Owner:  NLM     Status:  MEDLINE    
A primigravida aged 20 years was referred to Vydehi Institute of Medical Sciences with diagnosis of 30 weeks of period of gestation with eclampsia and failure to respond to induction with misoprostol and she was on Pritchard regimen for the treatment of eclampsia and there was no response to induction of labour and emergency ultrasound was taken and it showed an extrauterine gestation of 30 weeks gestation with fetal demise and free fluid in peritoneum. A tentative diagnosis of secondary abdominal pregnancy with eclampsia was made and she was taken for emergency laprotomy. Intra operative findings showed haemoperitoneum, fetus with placenta and membranes in the peritoneal cavity, there was bicornuate uterus and right horn was ruptured from the fundus to about 8 cm down in the posterior aspect and ruptured part was sutured in two layers. After securing perfect haemostasis, abdomen was closed. This paper illustrates a case report of uterine anomaly with 30 weeks period of gestation and eclampsia and rupture following induction with prostaglandins.
Sheela Jayaprakash; Lakshmidevi Muralidhar; G Sampathkumar; Rajivkumar Sexsena
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-10-28
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-07     Completed Date:  2013-11-05     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Obstetrics and Gynaecology Department, Vydehi Institute of Medical Sciences, Bangalore, Karnataka, India.
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MeSH Terms
Eclampsia / therapy
Fetal Death / etiology
Labor, Induced / adverse effects*
Pregnancy Trimester, Third
Rupture, Spontaneous / etiology,  surgery
Uterine Rupture / etiology*,  surgery
Uterus / abnormalities*
Young Adult

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