A case report: spontaneous postpartum rupture of unscarred uterus
Keywords:Postpartum bleeding, Uterine rupture, Vaginal birth
Rupture of uterus is characterized by a breach in the wall of the uterus involving its full thickness. An unscarred uterus rupture is uncommon. It has non-specific symptoms and presentation differs according to site and time of rupture. Authors report an unusual case of spontaneous rupture of unscarred uterus. A 32-year-old, pregnant woman, developed postpartum bleeding with no history of prior uterine incision. She was diagnosed as a case of rupture of uterus and emergency laparotomy was done. Early diagnosis and immediate surgical intervention may significantly improve the prognosis. Differential diagnosis of uterine rupture should always be kept in mind in all patients with or without risk factors.
Hofmeyr GJ, Gulmezoglu MM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG. 2005;112:1221-8.
Mavromatidis G, Karavas G, Margioula-Siarkou C, Pertousis S. Spontaneous postpartum rupture of an intact uterus: a case report. J Med Clin Res. 2015;7(1):56-8.
Turner MJ. Uterine Rupture. Best Pract Res Clin Obstet Gynaecol. 2002;16:69-79.
Ronel D, Wiznitzer A, Sergienko R, Zlotnik A, Sheiner E. Trends, risk factors and pregnancy outcome in women with uterine rupture. Arch Gynecol Obstet. 2012;285(2):317-21.
Wang PH, Yuan CC, Chao HT, Yang MJ, Ng HT. Posterior uterine wall rupture during labour. Hum Reprod. 2000;15(5):1198-9.
Siddiqui M, Ranasinghe JS. Spontaneous rupture of uterus. J Clin Anesth. 2002;14(5):368-70.
Ripley DL. Uterine emergencies. Obstet Gynecol Clin North Am. 1999;26(3):419-34.
Zwart JJ, Richters JM, Ory F, deVrics JI, Bleomenkump KW, van Rousmalen J. Uterine rupture in the Netherlands: a nationwide population-based cohort study. BJOG. 2009;116:1069-80.
Mazzone ME, Woolever J. Uterine rupture in a patient with an unscarred uterus: a case study. WMJ. 2006;105:64-6.
Dare B, Dove C. Maternal death after uterine rupture in an unscarred uterus: a case report. J Emerg Med. 2009;37(4):393-5.