Ruptured uterus following the Spinelli operation for inversion of the uterus: Cesarean hysterectomy: Recovery of mother and baby case report

Abstract

The woman who has had a Spinelli operation in the treatment of inversion of the uterus is exposed to the danger of rupture of the uterus in a subsequent pregnancy, because of the existence of a scar extending from the uterine fundus to the os externum of the cervix. One on whom I had performed this operation on May 27, 1938, reported to me in late pregnancy. It was decided to deliver her by cesarean section, and the date of the intervention had been arranged for two weeks before the expected term in order to avoid the strain of the last two weeks of gestation on the uterine scar. Three days before this appointed date, without any effort on her part, and while she was in bed, her uterus ruptured. She was transferred to the hospital as soon as possible where a cesarean-hysterectomy was performed, following which a blood transfusion was administered. The convalescence was uncomplicated and the mother and baby were discharged from the hospital in good condition.