Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy
A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Followi...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2016/6195621 |
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| author | Claire Sutton Prue Standen Jade Acton Christopher Griffin |
| author_facet | Claire Sutton Prue Standen Jade Acton Christopher Griffin |
| author_sort | Claire Sutton |
| collection | DOAJ |
| description | A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm. The neonate was transferred to the Special Care Nursery for neonatal care. The patient had an uncomplicated postoperative course and was discharged home three days following delivery. This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall. |
| format | Article |
| id | doaj-art-dcae1b596edf40aa84eae5a7f3c0021f |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-dcae1b596edf40aa84eae5a7f3c0021f2025-02-03T06:12:39ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/61956216195621Spontaneous Uterine Rupture in a Preterm Pregnancy following MyomectomyClaire Sutton0Prue Standen1Jade Acton2Christopher Griffin3Department of Obstetrics and Gynaecology, King Edward Memorial Hospital, 374 Bagot Road, Subiaco, WA 6008, AustraliaDepartment of Obstetrics and Gynaecology, King Edward Memorial Hospital, 374 Bagot Road, Subiaco, WA 6008, AustraliaDepartment of Obstetrics and Gynaecology, King Edward Memorial Hospital, 374 Bagot Road, Subiaco, WA 6008, AustraliaDepartment of Maternal Fetal Medicine, King Edward Memorial Hospital, 374 Bagot Road, Subiaco, WA 6008, AustraliaA 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm. The neonate was transferred to the Special Care Nursery for neonatal care. The patient had an uncomplicated postoperative course and was discharged home three days following delivery. This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall.http://dx.doi.org/10.1155/2016/6195621 |
| spellingShingle | Claire Sutton Prue Standen Jade Acton Christopher Griffin Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy Case Reports in Obstetrics and Gynecology |
| title | Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy |
| title_full | Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy |
| title_fullStr | Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy |
| title_full_unstemmed | Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy |
| title_short | Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy |
| title_sort | spontaneous uterine rupture in a preterm pregnancy following myomectomy |
| url | http://dx.doi.org/10.1155/2016/6195621 |
| work_keys_str_mv | AT clairesutton spontaneousuterineruptureinapretermpregnancyfollowingmyomectomy AT pruestanden spontaneousuterineruptureinapretermpregnancyfollowingmyomectomy AT jadeacton spontaneousuterineruptureinapretermpregnancyfollowingmyomectomy AT christophergriffin spontaneousuterineruptureinapretermpregnancyfollowingmyomectomy |