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BMC Res Notes. 2016 Nov 21;9(1):492.

Management of uterine rupture: a case report and review of the literature.

Author information

1
Department of Obstetrics and Gynecology, Douala General Hospital, Douala, Cameroon. toegbe@gmail.com.
2
Faculty of Health Sciences, University of Buea, Buea, Cameroon. toegbe@gmail.com.
3
Department of Obstetrics and Gynecology, Douala General Hospital, Douala, Cameroon.
4
Faculty of Health Sciences, University of Buea, Buea, Cameroon.
5
Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
6
Operating Theatre, Douala General Hospital, Douala, Cameroon.
7
Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.

Abstract

BACKGROUND:

Maternal morbidity and mortality has been a major World Health Organization concern over the years, especially in sub-Saharan Africa. This paper reports uterine rupture with severe hypovolemic shock managed at the Douala General Hospital, Cameroon. Early clinical diagnosis is paramount to maternal survival.

CASE PRESENTATION:

Mrs. MM aged 25 years, G3P2012, of the Bamileke tribe in Cameroon was admitted to our Department in hypovolemic shock BP = 70/40 mmHg, pulse 120 beats per minute, with altered consciousness (Glasgow Coma Scale = 13). She has a history of missed abortion at 19 weeks gestation and an attempt to evacuate the uterus with misoprostol that led to uterine rupture. She underwent a total abdominal hysterectomy and blood transfusion. Her post-operative stay in hospital was uneventful.

CONCLUSION:

Uterine rupture is a complication that can be eliminated under conditions of best obstetric practice. To attain this objective, use of misoprostol in primary health facilities should be stopped or proper management of the medication instituted. The survival of patients after uterine rupture depends on the time interval between rupture and intervention, and the availability of blood products for transfusion.

KEYWORDS:

Blood products; Emergency; Hysterectomy; Laparotomy; Transfusion; Uterine rupture

PMID:
27871315
PMCID:
PMC5117510
DOI:
10.1186/s13104-016-2295-9
[Indexed for MEDLINE]
Free PMC Article

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