Anesth Pain Med.  2007 Apr;2(2):70-73.

Rupture of Unscarred Uterus Detected during a Cesarean Section : A case report

Affiliations
  • 1Department of Anesthesiology, Seoul National University Hospital, Seongnam, Korea. shdo@snu.ac.kr

Abstract

Uterine rupture is usually associated with previous uterine scar. Although intrapartum rupture of unscarred uterus is very rare, it may cause catastrophic outcomes to both the mother and the newborn infant compared with that of a scarred uterus. The present case describes our experience of anesthesia for an emergency cesarean section due to the arrest of fetal descent in a 36-year-old parturient who had undergone external cephalic version for the breech presentation of her fetus. We detected the rupture of her unscarred uterus during the operation under epidural anesthesia, which was changed to general anesthesia. Despite the uterine rupture the newborn infant survived uneventfully. At the postoperative twelfth day she was discharged from hospital with her baby.

Keyword

external; cephalic; version; oxytocin; unscarred; uterus; uterine; rupture

MeSH Terms

Adult
Anesthesia
Anesthesia, Epidural
Anesthesia, General
Breech Presentation
Cesarean Section*
Cicatrix
Emergencies
Female
Fetus
Humans
Infant, Newborn
Mothers
Oxytocin
Pregnancy
Rupture*
Uterine Rupture
Uterus*
Version, Fetal
Oxytocin
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