UTERINE RUPTURE DURING PREGNANCY – CASE REPORT

  • Mihai Cristian Dumitrașcu Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & University Emergency Hospital of Bucharest
  • Răzvan Fodoroiu University Emergency Hospital of Bucharest
  • George Cătălin Nenciu Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  • Aida Petca Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & University Emergency Hospital Elias, Bucharest, Romania
  • Răzvan Petca Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & Hospital Professor Dr. Theodor Burghele, Bucharest, Romania
  • Flori Șandru Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & University Emergency Hospital Elias, Bucharest, Romania
  • Monica Mihaela Cîrstoiu Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & University Emergency Hospital of Bucharest
Keywords: uterine rupture, pregnancy, caesarean section, risk factors

Abstract

Uterine rupture is a life-threatening complication in pregnancy with no specific signs and symptoms, that requires fast diagnosis and surgical treatment. The main risk factors for uterine rupture are previous caesarean section deliveries and myomectomies, which can lead to improper uterine wall healing. We report a case of a 37-year-old secundigravida in 29 weeks of pregnancy, with prior caesarian delivery that was admitted in our ward for altered general status and abdominal pain. The patient underwent emergency laparotomy during which we found a massive 3500ml hemoperitoneum, 1000 g dead fetus and a rupture in the posterolateral uterine wall. The uterine scar from the previous caesarian section was intact. Uterine rupture is a complication with a growing incidence in past years that is very difficult to predict, which can occur at any time during pregnancy, especially during labour, but also in the second or early third trimester. Fast diagnosis and proper management is imperious because of the catastrophic outcomes uterine rupture is associated with.

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Published
2021-04-14