Rupture of Couvelaire uterus-a very rare case report

Authors

  • Savita Rani Singhal Department of Obstetrics and Gynaecology PT. B.D. Sharma PGIMS Rohtak, Haryana, India
  • Archana Suneja Department of Obstetrics and Gynaecology PT. B.D. Sharma PGIMS Rohtak, Haryana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231957

Keywords:

Couvelaire, Rupture, Abruptio placentae, Uterus

Abstract

Couvelaire uterus is a complication seen in some severe forms of abruptio placentae. A careful watch and early identification can prevent grave maternal and fetal outcome. In literature, there are very few cases reported of rupture of Couvelaire uterus as it is a very rare entity. Our study highlights a case of 24 year old with nine months amenorrhea presented with abruption placenta and intrauterine fetal death. Diagnosis of ruptured Couvelaire uterus made and the same was repaired and managed. We were able to save the mother successfully.

References

Habek D, Selthofer R, Kulaš T. Uteroplacental apoplexy (Couvelaire syndrome). Wiener klinische Wochenschrift. 2008;120:88.

Cipullo LMA, Poto GE, Zullo F, Merciai F, Guida M. Late complication of a couvelaire uterus: case report and literature review. J Preg Child Health. 2019;6(407):2.

Rathi M, Rathi SK, Purohit M, Pathak A. Couvelaire uterus. Case Reports. 2014;2014:bcr2014204211.

Hubbard JL, Hosmer SB. USA. Couvelaire Uterus. J Am Osteopath Assoc. 1997;97(9):536-7.

Beischer NA. Traumatic rupture of a couvelaire uterus. Aust N Zeal J Surg. 1966;35(4):255-8.

Pickles BG. Rupture of uterus following accidental haemorrhage. Bri Med J. 1955;2(4931):96.

Pitaphrom A, Sukcharoen N. Pregnancy outcomes in placental abruption. J Med Assoc Thai. 2006;89(10):1572-8.

Eskes TK. Abruptio placentae. Eur J Obstetr Gynecol Reproduct Biol. 1997;75(1):63-70.

Rasool M, Masroor I, Shakoor S, Munim S. Spontaneous uterine rupture at 28 weeks: A case report. J Pak Med Asso. 2016;66(7):898.

Al-Zirqi I, Stray-Pedersen B, Forsén L, Daltveit AK, Vangen S. Uterine rupture: trends over 40 years. Int J Obstetr Gynaecol. 2016;123(5):780-7.

Trivedi K, Anand S. Case series of unscarred uterine rupture in primigravida. J Family Med Pri Care. 2022;11(7):4079-82.

Ndaboine ME, Kihunrwa A. An unusual case of placenta abruption complicated with ruptured uterus: case report. Internet J Gynecol Obstet. 2010;13:13.

Senkaya AR, Umut F, Ileri A, Karaca SY, Aytac H, Oztekin DC. Maternal and neonatal outcomes of couvelaire uterus. Medicine. 2021;10(3):775-8.

Jaiswani AK, Tripathi U, Bansal SJ, Singh V, Jaiswani K. Maternal death due to ruptured uterus consequent to abruptio placentae: 2 case reports. Egypt J Forensic Sci. 2021;11:1-4.

Downloads

Published

2023-06-28

Issue

Section

Case Reports