Detail
Article
Online article
FT
Medvik - BMC
  • Something wrong with this record ?

Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report

L. Hruban, A. Jouzova, P. Janku, V. Weinberger, D. Seidlova, T. Juren, J. Senkyrik, J. Kadlecova, J. Hausnerova, E. Jandakova

. 2023 ; 23 (1) : 500. [pub] 20230707

Language English Country England, Great Britain

Document type Case Reports, Journal Article

Persistent link   https://www.medvik.cz/link/bmc23016909

BACKGROUND: Clinically silent uterine rupture with complete fetal expulsion into the abdominal cavity is an extremely rare complication. Diagnosis can be difficult and the risk to the mother and fetus is high. Conservative management has been described only in a few cases of partial expulsion of the fetus so far. CASE PRESENTATION: We present a case of 43-year-old tercigravida with a history of previous laparotomic myomectomy and subsequent cesarean section. The subsequent pregnancy was complicated by uterine wall loosening and rupture at the site of the previous uterine scar after myomectomy and complete fetal expulsion into the abdominal cavity. The diagnosis was made at 24 + 6 weeks of gestation. Considering the absence of clinical symptomatology and the good condition of the fetus, a conservative approach was chosen with intensive monitoring of the maternal and fetal conditions. The pregnancy ended by elective cesarean section and hysterectomy at 28 + 0 weeks of gestation. The postpartum course was uneventful and the newborn was discharged to home care 63 days after delivery. CONCLUSIONS: Fetal expulsion into the abdominal cavity after silent uterine rupture of the scarred uterus may be accompanied by minimal symptomatology making early diagnosis difficult. This rare complication must be considered in the differential diagnosis in women after major uterine surgery. In selected cases and under conditions of intensive maternal and fetal monitoring, conservative management may be chosen to reduce the risks associated with prematurity.

References provided by Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc23016909
003      
CZ-PrNML
005      
20231026105456.0
007      
ta
008      
231013s2023 enk f 000 0|eng||
009      
AR
024    7_
$a 10.1186/s12884-023-05812-1 $2 doi
035    __
$a (PubMed)37420177
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a enk
100    1_
$a Hruban, Lukas $u Department of Obstetrics and Gynecology, University Hospital Brno and Medical Faculty, Masaryk University, Jihlavská 20, Brno, 625 00, Czech Republic $u Department of Health Sciences, Faculty of Medicine, Masaryk University, Brno, Czech Republic
245    10
$a Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report / $c L. Hruban, A. Jouzova, P. Janku, V. Weinberger, D. Seidlova, T. Juren, J. Senkyrik, J. Kadlecova, J. Hausnerova, E. Jandakova
520    9_
$a BACKGROUND: Clinically silent uterine rupture with complete fetal expulsion into the abdominal cavity is an extremely rare complication. Diagnosis can be difficult and the risk to the mother and fetus is high. Conservative management has been described only in a few cases of partial expulsion of the fetus so far. CASE PRESENTATION: We present a case of 43-year-old tercigravida with a history of previous laparotomic myomectomy and subsequent cesarean section. The subsequent pregnancy was complicated by uterine wall loosening and rupture at the site of the previous uterine scar after myomectomy and complete fetal expulsion into the abdominal cavity. The diagnosis was made at 24 + 6 weeks of gestation. Considering the absence of clinical symptomatology and the good condition of the fetus, a conservative approach was chosen with intensive monitoring of the maternal and fetal conditions. The pregnancy ended by elective cesarean section and hysterectomy at 28 + 0 weeks of gestation. The postpartum course was uneventful and the newborn was discharged to home care 63 days after delivery. CONCLUSIONS: Fetal expulsion into the abdominal cavity after silent uterine rupture of the scarred uterus may be accompanied by minimal symptomatology making early diagnosis difficult. This rare complication must be considered in the differential diagnosis in women after major uterine surgery. In selected cases and under conditions of intensive maternal and fetal monitoring, conservative management may be chosen to reduce the risks associated with prematurity.
650    _2
$a novorozenec $7 D007231
650    _2
$a těhotenství $7 D011247
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a lidé $7 D006801
650    _2
$a dospělí $7 D000328
650    12
$a ruptura dělohy $x etiologie $x chirurgie $x diagnóza $7 D014597
650    _2
$a císařský řez $x škodlivé účinky $7 D002585
650    _2
$a konzervativní terapie $x škodlivé účinky $7 D000072700
650    _2
$a uterus $7 D014599
650    12
$a břišní dutina $7 D034841
655    _2
$a kazuistiky $7 D002363
655    _2
$a časopisecké články $7 D016428
700    1_
$a Jouzova, Anna $u Department of Obstetrics and Gynecology, University Hospital Brno and Medical Faculty, Masaryk University, Jihlavská 20, Brno, 625 00, Czech Republic. jouzova.anna@fnbrno.cz
700    1_
$a Janku, Petr $u Department of Obstetrics and Gynecology, University Hospital Brno and Medical Faculty, Masaryk University, Jihlavská 20, Brno, 625 00, Czech Republic $u Department of Health Sciences, Faculty of Medicine, Masaryk University, Brno, Czech Republic
700    1_
$a Weinberger, Vit $u Department of Obstetrics and Gynecology, University Hospital Brno and Medical Faculty, Masaryk University, Jihlavská 20, Brno, 625 00, Czech Republic
700    1_
$a Seidlova, Dagmar $u Department of Anesthesiology and Intensive Care, University Hospital Brno and Medical Faculty, Masaryk University, Brno, Czech Republic
700    1_
$a Juren, Tomas $u Department of Neonatology, University Hospital Brno and Medical Faculty, Masaryk University, Brno, Czech Republic
700    1_
$a Senkyrik, Jan $u Department of Pediatric Radiology, University Hospital Brno and Medical Faculty, Masaryk University, Brno, Czech Republic
700    1_
$a Kadlecova, Jana $u Department of Obstetrics and Gynecology, University Hospital Brno and Medical Faculty, Masaryk University, Jihlavská 20, Brno, 625 00, Czech Republic
700    1_
$a Hausnerova, Jitka $u Department of Pathology, University Hospital Brno and Medical Faculty, Masaryk University, Brno, Czech Republic
700    1_
$a Jandakova, Eva $u Department of Pathology, University Hospital Brno and Medical Faculty, Masaryk University, Brno, Czech Republic
773    0_
$w MED00007501 $t BMC pregnancy and childbirth $x 1471-2393 $g Roč. 23, č. 1 (2023), s. 500
856    41
$u https://pubmed.ncbi.nlm.nih.gov/37420177 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20231013 $b ABA008
991    __
$a 20231026105450 $b ABA008
999    __
$a ok $b bmc $g 2000437 $s 1203271
BAS    __
$a 3
BAS    __
$a PreBMC-MEDLINE
BMC    __
$a 2023 $b 23 $c 1 $d 500 $e 20230707 $i 1471-2393 $m BMC pregnancy and childbirth $n BMC Pregnancy Childbirth $x MED00007501
LZP    __
$a Pubmed-20231013
Back

Find record

Citation metrics

Archiving options