Intrapartal Uterine Avulsion with Posterior Cervical Rupture
نویسنده
چکیده
In this case study we describe an obstetric emergency of complete intrapartum left-lateral uterine avulsion, with posterior cervical rupture in a 31-year-old secundipara, following vacuum extraction. To the best of our knowledge, a similar case has not been previously reported in the literature. A live macrosomic male neonate was delivered by two tractions, with lateral episiotomy, and with shoulder dystocia that was relieved by McRoberts’ and Resnik’s maneuvers (Apgar score 7.8, birth weight/length 4640/57). In our patient, the risk factors for avulsion and concomitant posterior cervical rupture included prolonged second stage of labor, delivering a macrosomic neonate in a secundipara with deflexion (parietal) in a cephalic presentation along the distended and thinned posterior uterine wall. Urgent total hysterectomy was performed in dramatical circumstances due to complete unilateral avulsion and cervical rupture, with continuous aortal compression, volume replacement and intact coagulation, which certainly contributed to the good final maternal outcome.
منابع مشابه
A case of obstructed hemivagina and ipsilateral renal anomaly syndrome (OHVIRA) with a single uterus, unrecognized before labor and followed by an intrapartal rupture of obstructed hemivagina
Objective Müllerian duct anomalies are congenital anomalies of the female genital tract resulting from non-development or non-fusion of the Müllerian ducts, or failed resorption of the uterine septum. The acronym for obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) was created to describe patients with an obstructed hemivagina and ipsilateral renal anomaly and enables inclusion of o...
متن کاملA new cervical nerve root avulsion model using a posterior extra-vertebral approach in rats
BACKGROUND The nerve root avulsion injury causes decrease of motor neurons in the spinal ventral horn. To investigate the motoneuron death after avulsion injury in rats, the intradural root avulsion procedure is usually used, although it is technically demanding and associated with a risk of unexpected spinal cord damage. We have developed a new cervical nerve root avulsion procedure in rats an...
متن کاملPrimary spontaneous complete colporrhexis.
Spontaneous rupture or avulsion of the vagina from the cervix during labour is a rare condition. The term colporrhexis describes this obstetric injury and it is subdi vided into primary or secondary, spontaneous or traumatic, complete or incomplete. Incomplete colporrhexis includes rupture of the vaginal epithelium and the muscularis, whereas complete involves the overlying peritoneum as well....
متن کاملThree-dimensional volumetric gray-scale uterine cervix histogram prediction of days to delivery in full term pregnancy
OBJECTIVE Our aim was to figure out whether volumetric gray-scale histogram difference between anterior and posterior cervix can indicate the extent of cervical consistency. METHODS We collected data of 95 patients who were appropriate for vaginal delivery with 36th to 37th weeks of gestational age from September 2010 to October 2011 in the Department of Obstetrics and Gynecology, Korea Unive...
متن کاملAvulsion Fracture of the Medial Tibial Plateau (reverse Segond Injury) Fabio Janson Angelini1, Eduardo Angeli Malavolta2, Caio Oliveira D ́elia3, José Ricardo Pécora4, Arnaldo Hernandez5, Gilberto
INTRODUCTION The Segond injury corresponds to a marginal avulsion fracture of lateral tibial plateau, resultant from flexion traumas, stress in varus and internal rotation. The structure responsible for avulsion is the lateral collateral ligament, and anterior cruciate ligament and lateral meniscal injuries are also frequently present(1-4). Hall and Hochman(5) provided the first report of an in...
متن کامل