Case report
Silent spontaneous uterine rupture after previous cesarean section and myomectomy with delivery of a healthy newborn
Vito Starčević
orcid.org/0000-0003-0488-7588
; Department of Obstetrics and Gynecology, Clinical Hospital Center Zagreb, School of Medicine, University of Zagreb
Mislav Herman
; Department of Obstetrics and Gynecology, Clinical Hospital Center Zagreb, School of Medicine, University of Zagreb
Franjo Grgić
; Department of Obstetrics and Gynecology, Clinical Hospital Center Zagreb, School of Medicine, University of Zagreb
Vesna Sokol Karadjole
; Department of Obstetrics and Gynecology, Clinical Hospital Center Zagreb, School of Medicine, University of Zagreb
Marina Ivanišević
orcid.org/0000-0001-6478-1174
; Klinika za ženske bolesti i porođaje, Klinički bolnički centar Zagreb, Medicinski fakultet Sveučilišta u Zagrebu
Abstract
Introduction. Silent spontaneous rupture of the uterus before labor with delivery of a healthy newborn and with no maternal or neonatal morbidity or mortality is very rare. Very few cases have been reported in literature. Case report. We report a case of silent spontaneous uterine rupture. Rupture was found during an elective repeat cesarean section. Patient had history of one prior cesarean myomectomy. At 38 weeks of gestation, before labour has started and before any symptoms, the patient underwent elective caesarean section with delivery of a healthy and eutrophic female infant. Uterine rupture in previous myomectomy scar and intact amniotic sac with fetus inside was found as soon as peritoneum was opened. The patient was discharged on postoperative day 5 with healthy newborn. Conclusion. Though silent spontaneous rupture of the uterus before term is very rare condition, all pregnant women with previous hysterotomy should be warned about possibility of spontaneous uterine rupture even before labour has started.
Keywords
pregnancy; silent uterine rupture; newborn
Hrčak ID:
251861
URI
Publication date:
1.1.2018.
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