Abstract
A clinical case of a complete fundal rupture of the uterus at the first stage of labor of a woman with a uterine scar from a previous cesarean section in the lower uterine segment is addressed in this article. During clinical observation, the patient did not have hemorrhagic and pain syndromes. Operative delivery was performed due to primary uterine inertia. A newborn did not show any signs of asphyxia. During the operation, a rounded defect of 4 5 cm in size, penetrating the uterine cavity, was detected in the uterine fundus. It was sutured with a triple-row suture. The area of the lower segment was thinned to 2 mm, with deformation and defects not detected. In the postpartum period, subinvolution of the uterus was noted. The patient was discharged from hospital in satisfactory condition on the 10th day of the postpartum period.
Highlights
■■ В данной статье представлен клинический случай полного разрыва дна матки в первом периоде родов у женщины с рубцом на матке после кесарева сечения в нижнем маточном сегменте
■■ A clinical case of a complete fundal rupture of the uterus at the first stage of labor of a woman with a uterine scar from a previous cesarean section in the lower uterine segment is addressed in this article
A newborn did not show any signs of asphyxia
Summary
Клинический случай полного «немого» разрыва дна матки в первом периоде родов. ■■ В данной статье представлен клинический случай полного разрыва дна матки в первом периоде родов у женщины с рубцом на матке после кесарева сечения в нижнем маточном сегменте. For citation: Mochalova MN, Kuzmina LA, Mironenko AYu, et al Complete asymptomatic fundal rupture of the uterus in the first stage of labor. ■■ A clinical case of a complete fundal rupture of the uterus at the first stage of labor of a woman with a uterine scar from a previous cesarean section in the lower uterine segment is addressed in this article. A rounded defect of 4 × 5 cm in size, penetrating the uterine cavity, was detected in the uterine fundus. Согласно патогенетической классификации в Российской Федерации среди причин самопроизвольного разрыва матки выделяют разрыв вследствие механического
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