Korean J Obstet Gynecol.  2012 Mar;55(3):183-186. 10.5468/KJOG.2012.55.3.183.

A case of ruptured gravid uterus at 35 weeks' gestation after cornual resection

• Kim MJ
• Lee MR
• Jeon HJ
• Choi SA
• Cho EK
• Kim YS
• Bae DH

• KMID: 2274124
• DOI: http://doi.org/10.5468/KJOG.2012.55.3.183

Abstract

Uterine rupture in pregnancy is a rare condition, but an obstetric emergency. It threatens the life of both the mother and the newborn. Hemorrhage from the wound surface is the principal complication. Therefore, mortality rates strongly depend on the time elapsed between onset and diagnosis of the uterine rupture, and on the possibility of immediate surgical intervention. Prompt diagnosis of the uterine rupture is of prime importance. The major risk factor for uterine rupture is previous cesarean delivery. Other risk factors identified as contributing to uterine rupture are malpresentations, second stage dystocia, labor induction, use of epidural for pain control, preterm delivery and delivery after the 42nd week of gestation. We experienced a woman with a history of corneal resection 1 year ago, who suffered uterine rupture at 35 weeks' gestation during preterm labor.

Keyword

Uterine rupture; Cornual resection; Preterm labor

MeSH Terms

Dystocia
Emergencies
Female
Hemorrhage
Humans
Infant, Newborn
Mothers
Obstetric Labor, Premature
Pregnancy
Risk Factors
Uterine Rupture
Uterus

Figure

• 

  Fig. 1 Transabdominal ultrasonography shows 90 × 70 mm sized concealed hematoma between left uterine wall and placenta.

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  Fig. 2 In the left cornual area, 80 mm sized huge ruptured site (arrow) was seen at the operating field.

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