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Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 11

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Ginecol Obstet Mex 2023; 91 (11)

Spontaneous and undetected uterine rupture. Case report

Ibargüengoitia OF, Miranda AO, López TMF

Language: Spanish
References: 20
Page: 857-860
PDF size: 198.40 Kb.


ABSTRACT

Background: Uterine rupture is a separation of the three layers of the uterus and is associated with a uterine scar. Most cases are related to an attempted labor after a cesarean section. Uterine rupture is a serious complication that puts both mother and fetus at risk. Exceptionally uterine rupture can occur without symptoms, being a finding during a repeat cesarean section.
Clinical case: A 27-year-old patient scheduled for repeat cesarean section due to dysfunction of a prosthetic valve. Upon opening the abdominal cavity, no hemoperitoneum was found and a transverse defect was visualized in the lower uterine segment of the three uterine layers, with an intact amniotic sac, coinciding with uterine rupture. A healthy newborn was obtained, weighing 2610 g and Apgar 9-9. The uterine wound was sutured in two planes and bilateral tubal occlusion was performed. The evolution during the puerperium was satisfactory.
Conclusions: Uterine rupture may go unnoticed due to an oversight in the clinical history and auscultation, hence the need to be more thorough in order to indicate appropriate treatment.


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