Open AccessUTERINE RUPTURE DURING PREGNANCY – CASE REPORT
Author(s) -
Mihai Cristian Dumitrașcu,
Răzvan Fodoroiu,
George Cătălin Nenciu,
Aida Petca,
Răzvan Petca,
Flori Șandru,
Monica Mihaela Cîrstoiu
Publication year - 2021
Publication title -
romanian journal of emergency surgery
Language(s) - English
Resource type - Journals
eISSN - 2668-8085
pISSN - 2668-7453
DOI - 10.33695/rojes.v2i2.32
Subject(s) - uterine rupture , medicine , hemoperitoneum , caesarian section , pregnancy , complication , laparotomy , caesarean section , abdominal pain , obstetrics , surgery , uterus , biology , genetics
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.