Uterine rupture in pregnancy - case study

Czech version

Authors: J. Záhumenský ¹; H. Brtnická ¹; Tomáš Brtnický ² ; O. Šottner ¹; B. Zmrhalová ¹; M. Halaška ¹
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a FN Na Bulovce, Praha, přednosta prof. MUDr. M. Halaška, DrSc. ¹; Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha, přednosta prof. MUDr. L. Rob, CSc. ²
Published in: Ceska Gynekol 2010; 75(4): 309-311
Category: Case Report

Overview

Objective:
Analysis of two cases uterine rupture following caesarian section.

Subject:
Two case studies.

Setting:
Gynecological obstetrics clinic, First Medical Faculty and Faculty Hospital Bulovka, Prague.

Subject and methods:
The authors in their article describe two cases of rupture of the uterus in pregnancy prior to delivery. In both cases there was a history of cervicocorporal caesarian section.

Conclusion:
In the first case the patient was admitted from her home with bleeding, and signed a nonconsent form. The second case concerned a hospitalized patient, in which the first signs of uterine rupture were indicated by fetal heart rate. Both women underwent hysterectomy, paradoxically, in the first case the child was saved and discharged home in good health.

Key words:
uterine rupture, state following cesarian section.

Sources

1. Al-Zirqi, I., Stray-Pedersen, B., Forsen, L., et al. Uterine rupture after previous caesarean section. BJOG 2010.

2. Bethune, M., Permezel, M. The relationship between gestational age and the incidence of classical caesarean section. Aust N Z J Obstet Gynaecol 1997, 37, p. 153-155.

3. Bujold, E., Gauthier, RJ. Risk of uterine rupture associated with an interdelivery interval between 18 and 24 months. Obstet Gynecol 2010, 115, p. 1003-1006.

4. Dane, B., Dane, C. Maternal death after uterine rupture in an unscarred uterus: a case report. J Emerg Med 2009, 37, p. 393‑395.

5. de, dddddd C.C. Vaginal birth after classical Caesarean section. Aust N Z J Obstet Gynaecol 2005, 45, p. 182-186.

6. Goynumer, G., Teksen, A., Durukan, B., et al. Spontaneous uterine rupture during a second trimester pregnancy with a history of laparoscopic myomectomy. J Obstet Gynaecol Res 2009, 35, p. 1132-1135.

7. Halperin, ME., Moore, DC., Hannah, WJ. Classical versus low-segment transverse incision for preterm caesarean section: maternal complications and outcome of subsequent pregnancies. Br J Obstet Gynaecol 1988, 95, p. 990-996.

8. Hudic, I., Fatusic, Z., Kameric, L., et al. Vaginal delivery after Misgav-Ladach cesarean section - Is the risk of uterine rupture acceptable? J. Matern Fetal Neonatal Med 2010.

9. Kurdoglu, M., Kolusari, A., Yildizhan, R., et al. Delayed diagnosis of an atypical rupture of an unscarred uterus due to assisted fundal pressure: a case report. Cases J 2009, 2, p. 7966.

10. Mavroforou, A., Koumantakis, E., Michalodimitrakis, E. Physicians’ liability in obstetric and gynecology practice. Med Law 2005, 24, p. 1-9.

11. Murphy, DJ. Uterine rupture. Curr Opin Obstet Gynecol 2006, 18, p. 135-140.

12. Ofir, K., Sheiner, E., Levy, A.m et al. Uterine rupture: risk factors and pregnancy outcome. Am J Obstet Gynecol 2003, 189, p. 1042-1046.

13. Pechtor, K., Richards, B., Paterson, H. Antenatal catastrophic uterine rupture at 32 weeks of gestation after previous B-Lynch suture. BJOG 2010.

14. Satiroglu, MH., Gozukucuk, M., Cetinkaya, SE., et al. Uterine rupture at the 29th week of subsequent pregnancy after hysteroscopic resection of uterine septum. Fertil Steril 2009, 91, p. 934-936.

15. Yap, OW., Kim, ES., Laros, RK., Jr. Maternal and neonatal outcomes after uterine rupture in labor. Am J Obstet Gynecol 2001, 184, p. 1576-1581.

16. Zelop, C., Heffner, LJ. The downside of cesarean delivery: short- and long-term complications. Clin Obstet Gynecol 2004, 47, p. 386-393.