Uterine legacy of open maternal–fetal surgery: preterm uterine rupture

Uterine Rupture

Occult or incomplete rupture refers to a surgical scar separating but the visceral peritoneum staying intact. It is usually asymptomatic and does not require emergency surgery. Complete rupture can be: Traumatic: A motor vehicle accident. Incorrect use of oxytocic agent. A poorly conducted attempt at operative vaginal delivery (typically breech extraction with an incompletely dilated cervix). (...

Uterine Rupture

Occult or incomplete rupture refers to a surgical scar separating but the visceral peritoneum staying intact. It is usually asymptomatic and does not require emergency surgery. Complete rupture can be: Traumatic: A motor vehicle accident. Incorrect use of oxytocic agent. A poorly conducted attempt at operative vaginal delivery (typically breech extraction with an incompletely dilated cervix). (...

Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy

A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uter...

Intrapartum Uterine Rupture

Uterine anomalies, induction of labor, and uterine rupture.

Gerard G. Nahum, MD I this issue, Drs. Samuels and Awonuga1 examine a case of uterine rupture associated with a second-trimester pregnancy within a congenital rudimentary uterine horn after administration of misoprostol. It is important because it emphasizes 1) the increased dangers associated with pregnancies that reside within congenital rudimentary uterine horns, 2) the importance of identif...