Document Detail

Rupture of the posterior cul-de-sac during spontaneous labor.
MedLine Citation:
PMID:  20093863     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Women with genital anomalies are at increased risk of labor dysfunction. Rupture of the posterior cul-de-sac causing an intraabdominal delivery is a rare complication of labor that may be related to a congenitally atretic vagina. CASE: A nulliparous woman at 28 weeks of gestation with a known short vagina presented with preterm labor; her cervix could not be palpated or visualized. At cesarean delivery, the cervix was intraabdominal and the fetal head was delivered in the abdomen. A large rent in the posterior cul-de-sac required repair to restore correct anatomical positioning. The uterus was intact. CONCLUSION: Rupture of the posterior cul-de-sac is a rare event that can cause significant maternal and fetal morbidity.
Brett Young; Tamara Takoudes; Kee-Hak Lim; Sarosh Rana
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  115     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-22     Completed Date:  2010-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  414-7     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
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MeSH Terms
Cervix Uteri / abnormalities*,  radiography
Cesarean Section
Infant, Newborn
Obstetric Labor Complications / surgery*
Rupture, Spontaneous
Tomography, X-Ray Computed
Vagina / abnormalities,  injuries*,  radiography
Grant Support

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