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J Clin Diagn Res. 2013 Mar;7(3):548-9. doi: 10.7860/JCDR/2013/4496.2820. Epub 2013 Mar 1.

The spontaneous prelabour rupture of anunscarred uterus at 34 weeks of pregnancy.

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  • 1Assistant Professor, Department of Obstetrics and Gynaecology.

Abstract

Uterine rupture is an obstetric emergency needs immediate surgery and is associated with poor fetal & maternal outcome. Usually uterine rupture occurs at the lower segment (weakest part) if there is no history of uterine surgery. We hereby are reporting a case of spontaneous uterine rupture at fundus, at 34 weeks of gestation in a patient who has never had uterine surgery. Only uterine curettage was done once for missed abortion. In this case, diagnosis was delayed until the patient went into massive hemorrhagic shock; because, there was no history of previous uterine surgery. However, clinical picture of the ruptured uterus at the fundus suggests there was some weakness at the fundus. Thereafter, D & C operation was taken into account. Subtotal hysterectomy was done as the rupture was irreparable damage to the fundus. Her one month follow up was uneventful.

KEYWORDS:

Fundal rupture; Preterm uterine rupture; Unscarred ruptured uterus

PMID:
23634419
[PubMed]
PMCID:
PMC3616579
Free PMC Article

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