Rupture Of Unscarred Uterus Research Articles

Rupture of Unscarred Uterus: A Rare Cause of Abdominal Pain in Pregnancy

Copyright: © 2015 Abdalla N, et al. This is an open‐access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Uterine rupture is rare during pregnancy and its associated with high maternal and fetal mortality [1]. The incidence rate of uterine rupture is 5,3 per 10000 deliveries among unselected pregnant women [2]. The most common risk factor of uterine rupture is previous caesarean section and uterine surgery [3]. Other risk factors include multiparity, a short length of time (less than 18 months) since the last caesarean section, the number of previous caesarean sections, single-layer closure instead of two-layer closure, placenta previa, fetal malpresentation, macrosomia, forced amnio-infusion, multiple gestation, cephalopelvic disproportion and the use of prostaglandins or oxytocin for labor induction [4,5]. In more than half of cases of ruptured unscarred uterus no evident risk factor can be found [1]. Rupture of unscarred uterus is very rare, involving 1: 17,000–20,000 deliveries, however it’s associated with high rate of maternal and perinatal morbidity and mortality [6,3]. The rupture could be traumatic or spontaneous [6]. The distribution of causes of uterine rupture varies from one country to another. In developed countries most uterine ruptures are associated with scarred uterus or trauma. In developing countries rupture occur mainly spontaneously in an unscarred uterus [7]. This may be related to multiparity in developing countries that causes weakening of the uterine wall. In the study of Schrinsky et al. 32% of women who had unscarred uterine rupture had a parity of greater than four [8].

Rupture of the Unscarred Gravid Uterus: Case Series

Rupture of the unscarred uterus is estimated to occur in approximately 0.8 in 10,000 deliveries. It is a potentially catastrophic event for both mother and fetus. We present two such cases and review the relevant literature. The first case concerns a multiparous patient who attended due to reduced fetal movements and subsequently incurred fetal demise, sepsis and significant hemorrhage. The second case concerns a patient in her second delivery who developed uterine rupture after a prolonged second stage of labor. We recommend that clinicians maintain a high index of suspicion for uterine rupture even in the absence of prior cesarean delivery. J Med Cases. 2015;6(7):330-332 doi: http://dx.doi.org/10.14740/jmc2203w

Silent uterine rupture of unscarred uterus-an unusual presentation.

It is very rare to see rupture of uterus in an unscarred uterus. But in cases of previous abortions or cesarean section or scarred uterus, uterine rupture is seen in few cases. Silent uterine rupture is very rare. If there is fetal demise & presenting part is very high up in pelvis not responding to routine induction, possibility of rupture uterus should be kept in mind. Ultrasound has an important role in the diagnosis of silent uterine rupture. A case of silent uterine rupture of unscarred uterus with fetal demise, that remained undiagnosed for many weeks, is described.

Misoprostol Induced Rupture of Unscarred Uterus

Misoprostol is a prostaglandin E1 analogue and very efficient uterotonic drug. The US Food and Drug Administration (FDA) has listed a range of side effects such as hyperstimulation, uterine tetany, meconium-stained amniotic fluid, uterine rupture, maternal shock, maternal death, foetal bradycardia and foetal death. Rupture of uterus during labour with hypertonic contractions is a rare complication which is potentially life threatening to both mother and foetus. Due to increased risk of hyper stimulation, meconium-stained liquor and ruptured uterus with misoprostal uterine contractility and FHR must be monitored throughout induction the ideal dosage cannot also be specified.

Uterine preservation in placenta percreta complicated by unscarred uterine rupture at second trimester in a patient with repeated molar pregnancies: a case report and brief review of the literature

Placenta-percreta causing uterine rupture in unscarred uterus is a rare obstetric surgical emergency that can cause maternal and perinatal morbidity and mortality. A 25-year-old woman presented with abdominal pain for four days. Previously, she had undergone two suction curettages for complete hydatiform moles. Ultrasound revealed a non-viable fetus with an estimated gestational age of 21 weeks and free fluid and coagulum in the abdominal cavity. An emergency laparotomy was performed because of the acute abdomen. At exploration, the placenta had invaded the entire thickness of the myometrium and the non-viable fetus was in the abdominal cavity. The uterus was closed with a double-layer of interrupted sutures and uterine-sparing surgery was performed. The patient was discharged on postoperative day seven. The authors present a case of placenta-percreta in an unscarred uterus complicated with uterine rupture during the second-trimester that was managed successfully with uterine repair. They also review the literature briefly and discuss similar cases managed conservatively in the second-trimester.

Rupture utérine bilatérale sur utérus gravide non cicatriciel en dehors du travail

We report a case of bilateral spontaneous uterine rupture of an unscarred uterus occured in a primigravida at 32 weeks to take care in our department after in utero transfert. Uterine rupture occurs mainly on scarred uterus during labor. This is an unfrequent but serious complication involving fetal–maternal prognosis in the absence of immediate care. We are conducting a review about spontaneous uterine rupture of unscarred uterus, before and during labor.

Spontaneous prelabor uterine rupture in a primigravida: a case report and review of the literature

A rare case of prelabor uterine rupture in a primigravida was reported. A woman with a history of uterine perforation during hysteroscopy became pregnant after donor oocyte in vitro fertilization. To provide more insight into the possible risk factors for prelabor uterine rupture in primigravidae, a literature review was performed.

Spontaneous Rupture of Unscarred Gravid Uterus

Rupture of gravid uterus during pregnancy is a rare entity. Overall incidence of rupture of uterus during pregnancy is 0.07%. The maternal and fetal prognoses are bad especially when the rupture occurs in an unscarred uterus. Fortunately, the sole major risk factor of spontaneous rupture of unscarred uterus is preventable, which is "multiparity." In this article, we report the death of a pregnant woman and her unborn child because of spontaneous rupture of unscarred uterus.

Spontaneous rupture of unscarred uterus at 27 weeks of gestation

Spontaneous rupture of unscarred uterus at 27 weeks of gestation

Silent rupture of unscarred uterus: an unusual presentation at second trimester abortion

Rupture of unscarred uterus during the second trimester is rare. A case of ruptured uterus in a multiparous woman is presented. To our knowledge, this might be the first reported case in the English literature of uterine rupture during second trimester termination of pregnancy using ethacridine lactate. This case is also rare as uterine rupture is presented with an insidious course rather than acute, thus delaying the diagnosis.

“Silent” rupture of unscarred gravid uterus with subsequent pelvic abscess: Successful laparoscopic management

Intrapartum rupture of an unscarred uterus is rare in current times. However, it is still associated with significant maternal and fetal mortality and morbidity. Unlike rupture or dehiscence of a previous cesarean scar, which is occasionally bloodless, complete rupture of a gravid unscarred uterus frequently results in fetal jeopardy and significant maternal intraperitoneal bleeding, causes acute abdomen, and demands emergency surgical (laparotomy) intervention. Laparoscopy generally has no role in such circumstances due to the generally unstable maternal hemodynamic condition and the necessity of prompt fetal delivery with an abdominal approach. We present a rare case of intrapartum rupture of an unscarred gravid uterus with an atypical insidious clinical course. The diagnosis of complete uterine rupture was made 20 days after the patient’s successful vaginal delivery, at which time a large pelvic abscess formed. The condition was successfully managed laparoscopically. Successful vaginal delivery, even with normal lochia, good uterine contraction, and stable vital signs, does not preclude the possibility of uterine rupture. For patients with unusual postpartum pelvic pain, uterine rupture should be considered as one of the possible etiologic factors, and prompt survey should be performed. Laparoscopic intervention may be valuable in such situations.

Spontaneous rupture of unscarred uterus at early mid-trimester due to placenta percreta

(2004). Spontaneous rupture of unscarred uterus at early mid-trimester due to placenta percreta. Journal of Obstetrics and Gynaecology: Vol. 24, No. 6, pp. 705-705.

Uterine rupture in second trimester abortion in a grand multiparous woman: A complication of misoprostol and oxytocin

Rupture of unscarred uterus during the second trimester is rare. There have been only 32 cases reported in the literature since 1968. A case of ruptured uterus in a grand multiparous woman is presented. To our knowledge, this might be the first reported case in the English literature of uterine rupture during second trimester termination of pregnancy using a prostaglandin E1 analogue (Misoprostol) and oxytocin.

Spontaneous rupture of unscarred uterus in early pregnancy

Spontaneous rupture of unscarred uterus in early pregnancy

Spontaneous rupture of unscarred uterus in early pregnancy: - a rare entity

(2000). Spontaneous rupture of unscarred uterus in early pregnancy: - a rare entity. Acta Obstetricia et Gynecologica Scandinavica: Vol. 79, No. 5, pp. 431-432.

Rupture of Unscarred Uterus in Primigravid Woman in Association With Cocaine Abuse

Cocaine use in pregnancy has been associated with preterm labor and abruptio placentae. We report a case of rupture of an unscarred uterus necessitating hysterectomy in a patient after cocaine abuse.

Rupture of unscarred uterus in primigravid woman in association with cocaine abuse

Cocaine use in pregnancy has been associated with preterm labor and abruptio placentae. We report a case of rupture of an unscarred uterus necessitating hysterectomy in a patient after cocaine abuse.

Ruptured Uterus in Primiparous Women

Ruptured uterus is rare in developed country, but unfortunately it is common in a developing country like Bangladesh. It is one of the major obstetric emergencies. Rupture of unscarred uterus is uncommon event. Majority of the patients are multigravidae and in primipara it extremely rare. But in a tertiary referral hospital it is sometime seen. Four cases of ruptured uterus in primiparous patients are described. These patients were admitted as emergency cases in obstetrics and gynaecology department of Dhaka Medical College Hospital during the period 2000 -2001. These are due to injudicious use of oxytocin, obstructed labour due to hydrocephalus, cephalopelvic disproportion due to maternal kyphoscoliosis and road traffic accident in third trimester of pregnancy. DOI: 10.3329/jbcps.v28i1.4643 J Bangladesh Coll Phys Surg 2010; 28: 45-48