Document Detail


Uterine rupture in a nulliparous woman with septate uterus of the second trimester pregnancy and review in literature.
MedLine Citation:
PMID:  23333849     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Uterine rupture (UR) in early pregnancy in nulliparous women is a rare and unpredictable occurrence with high maternal morbidity and fatal fetal outcomes. Intrauterine anomalies could be the primum movens of this dangerous condition and underestimated in the literature.
PRESENTATION OF CASE: An uncommon case of uterine rupture at the 23rd week of gestation in a nulliparous woman, who became pregnant before the resection of an uterine septum. To provide more insight into the possible risk factors, a literature review was performed.
DISCUSSION: Loss of pregnancy is common, despite prompt uterine repair. In all cases reviewed abdominal pain characterized by indistinct vague symptoms constitutes the initial symptom of this obstetrical life threatening condition.
CONCLUSION: The current case highlights the association of curettage and septate uterus as a risk factor for UR in the second trimester of pregnancy. It's reasonable that obstetricians must take into account that common gastrointestinal tract problems might be an indicator of the initial weakness of uterine wall leading to the rupture, which is unpredictable all of cases reviewed.
Authors:
Gianluca Raffaello Damiani; Maria Gaetani; Stefano Landi; Loredana Lacerenza; Mario Barnaba; Domenico Spellecchia; Antonio Pellegrino
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Publication Detail:
Type:  Journal Article     Date:  2012-12-22
Journal Detail:
Title:  International journal of surgery case reports     Volume:  4     ISSN:  2210-2612     ISO Abbreviation:  Int J Surg Case Rep     Publication Date:  2013  
Date Detail:
Created Date:  2013-03-04     Completed Date:  2013-07-04     Revised Date:  2013-07-05    
Medline Journal Info:
Nlm Unique ID:  101529872     Medline TA:  Int J Surg Case Rep     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  259-61     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, 2° Operative Unit, University of Bari Aldo Moro, Policlinico, Bari, Italy; Department of Obstetrics and Gynecology, Hospital of Sondrio, Sondrio, Italy; Department of Obstetrics and Gynecology, Manzoni Hospital, Lecco, Italy. Electronic address: damiani14@alice.it.
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