Korean J Obstet Gynecol.  2012 Dec;55(12):973-977. 10.5468/KJOG.2012.55.12.973.

Recurrent spontaneous uterine rupture during the third trimester in a woman with history of laparoscopic cornual resection and cervical dysplasia

• Lee GM
• Jang HY
• Chang SW
• Jong SH
• Moon MJ
• Kim YR
• Ahn EH

• KMID: 2274208
• DOI: http://doi.org/10.5468/KJOG.2012.55.12.973

Abstract

Uterine rupture during the course of pregnancy is an uncommon obstetric event. Rupture of an unscarred uterus is rare, whereas rupture of a scarred uterus is more common and is usually the result of a Cesarean section. Uterine rupture during pregnancy usually occurs in patient with a scarred uterus, and recurrent uterine rupture usually occurs at a prior ruptured site. However, recurrent uterine rupture that occurs at a different site, regardless of prior rupture site, has yet to be reported. The patient described in this case report had cervical dysplasia with positive for human papilloma virus (HPV) type 16. As the presence of a precancerous lesion in the cervix is reported to increase the risk of preterm birth and spontaneous uterine rupture, a possible correlation between recurrent uterine rupture and cervical dysplasia was considered for this patient.

Keyword

Recurrent uterine rupture; Cornual pregnancy; Cervical dysplasia

MeSH Terms

Cervix Uteri
Cesarean Section
Cicatrix
Female
Humans
Papilloma
Pregnancy
Pregnancy Trimester, Third
Premature Birth
Rupture
Uterine Rupture
Uterus
Viruses

Figure

• 

  Fig. 1 Uterine wall defect and extruded amniotic sac with the fetal buttocks during the 1st uterine rupture. AF, amniotic fluid; M, myometrium; P, placenta.

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  Fig. 2 An abdominal ultrasound image of the thin uterine wall (arrow) and the fetal minor part during the 2nd uterine rupture.

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  Fig. 3 Rupture site in upper posterior wall of the uterus during the 2nd uterine rupture.

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