Primary spontaneous complete posterior colporrhexis during labour: a rare case report

Authors

  • Shashi Lata Kabra Department of Obstetrics and Gynaecology, DDU Hospital, Delhi, India
  • Ritu Goyal Department of Obstetrics and Gynaecology, DDU Hospital, Delhi, India
  • Reema Jain Department of Obstetrics and Gynaecology, DDU Hospital, Delhi, India
  • VK Kadam Department of Obstetrics and Gynaecology, DDU Hospital, Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162152

Keywords:

Colporrhexis, Caesarean, Rupture

Abstract

Uterus rupture in the course of labour is a well-documented fact, but the majority of the cases occur in scarred uterus. The scarred uterus can be secondary to previous surgeries like caesarean section, myomectomy, perforations etc. Nevertheless, primary spontaneous colporrhexis that occurs in a presumable normal tissue of the uterus instead of the previous scar site is a rare condition. Here we report the case of a 26 year old woman who had a posterior colporrhexis during her trial for normal delivery after previous caesarean section with intact scar site. Such cases though very rare, but set up an example of the need to remain extra vigilant while monitoring every women in labour irrespective of previous scarred uterus or not.

References

Greenhill JP. Principles and practice of obstetrics 10th edition. Philadelphia and London: WB Saundus Co; 1951:713.

Guise JM, McDonagh MS, Osterweil P, Nygren P, Chan BKS, Helfand M. Systematic review of the incidence and consequences of uterine rupture in women with previous caesarean section. British Medical Journal. 2004;329(7456):19-25.

Brews AA. Manual of obstetrics (Eden and Holland), 9th edition. London: J. and A. Churchill; 1948:484.

Young B, Takoudes T, Lim KH, Rana S. Rupture of the posterior cul-de-sac during spontaneous labor. Obstetrics and Gynecology. 2010;115(part 2:2):414-7.

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Published

2017-02-23

Issue

Section

Case Reports