Silent uterine rupture in scarred uterus
Uterine rupture in pregnancy is a rare and catastrophic complication with a high incidence of fetal and maternal morbidity. Very few cases have been reported in the literature.Case presentationA 28-year-old fifth gravid woman with a history of one caesarean section presented to our department at 39...
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| creator | Langhe, Ream Shah, Umme Farwa Alfathil, Attia Gannon, Michael |
| description | Uterine rupture in pregnancy is a rare and catastrophic complication with a high incidence of fetal and maternal morbidity. Very few cases have been reported in the literature.Case presentationA 28-year-old fifth gravid woman with a history of one caesarean section presented to our department at 39 weeks and 6 days gestation with complaints of headache, epigastric pain and nausea. Her blood pressure was elevated and there was proteinuria. Emergency caesarean section was performed in view of symptoms. Uterine rupture was found during the surgery. A live male infant was delivered in good condition. Postnatal recovery was unremarkable and the woman discharged on postoperative day 5.ConclusionRupture of the uterus can present in third trimester even before labour with minimal or no symptoms. |
| doi_str_mv | 10.1136/bcr-2016-218189 |
| format | Article |
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Very few cases have been reported in the literature.Case presentationA 28-year-old fifth gravid woman with a history of one caesarean section presented to our department at 39 weeks and 6 days gestation with complaints of headache, epigastric pain and nausea. Her blood pressure was elevated and there was proteinuria. Emergency caesarean section was performed in view of symptoms. Uterine rupture was found during the surgery. A live male infant was delivered in good condition. Postnatal recovery was unremarkable and the woman discharged on postoperative day 5.ConclusionRupture of the uterus can present in third trimester even before labour with minimal or no symptoms.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2016-218189</identifier><identifier>PMID: 28343154</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Adult ; Asymptomatic ; Blood pressure ; Cesarean section ; Cesarean Section - adverse effects ; Childbirth & labor ; Cicatrix ; Europe (West) ; Female ; Fetuses ; Headache - etiology ; Hematuria ; Humans ; Laparotomy ; Maternal mortality ; Morbidity ; Nausea - etiology ; Pain ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Complications - surgery ; Surgery ; Ultrasonic imaging ; Unusual Presentation of More Common Disease/Injury ; Uterine Rupture - diagnosis ; Uterine Rupture - mortality ; Uterine Rupture - surgery ; Uterus ; Vagina ; White</subject><ispartof>BMJ case reports, 2017-03, Vol.2017, p.bcr-2016-218189</ispartof><rights>Copyright BMJ Publishing Group LTD Mar 17, 2017</rights><rights>2017 BMJ Publishing Group Ltd 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b3719-f5917b07c16bb9c3bc3cd3e1e24503d296a936a66a83f99a1350f10fcf85fb6c3</citedby><cites>FETCH-LOGICAL-b3719-f5917b07c16bb9c3bc3cd3e1e24503d296a936a66a83f99a1350f10fcf85fb6c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747674/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747674/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,725,778,782,883,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28343154$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Langhe, Ream</creatorcontrib><creatorcontrib>Shah, Umme Farwa</creatorcontrib><creatorcontrib>Alfathil, Attia</creatorcontrib><creatorcontrib>Gannon, Michael</creatorcontrib><title>Silent uterine rupture in scarred uterus</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Uterine rupture in pregnancy is a rare and catastrophic complication with a high incidence of fetal and maternal morbidity. Very few cases have been reported in the literature.Case presentationA 28-year-old fifth gravid woman with a history of one caesarean section presented to our department at 39 weeks and 6 days gestation with complaints of headache, epigastric pain and nausea. Her blood pressure was elevated and there was proteinuria. Emergency caesarean section was performed in view of symptoms. Uterine rupture was found during the surgery. A live male infant was delivered in good condition. Postnatal recovery was unremarkable and the woman discharged on postoperative day 5.ConclusionRupture of the uterus can present in third trimester even before labour with minimal or no symptoms.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Asymptomatic</subject><subject>Blood pressure</subject><subject>Cesarean section</subject><subject>Cesarean Section - adverse effects</subject><subject>Childbirth & labor</subject><subject>Cicatrix</subject><subject>Europe (West)</subject><subject>Female</subject><subject>Fetuses</subject><subject>Headache - etiology</subject><subject>Hematuria</subject><subject>Humans</subject><subject>Laparotomy</subject><subject>Maternal mortality</subject><subject>Morbidity</subject><subject>Nausea - etiology</subject><subject>Pain</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - surgery</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><subject>Unusual Presentation of More Common Disease/Injury</subject><subject>Uterine Rupture - diagnosis</subject><subject>Uterine Rupture - mortality</subject><subject>Uterine Rupture - surgery</subject><subject>Uterus</subject><subject>Vagina</subject><subject>White</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkU1LAzEQhoMottSevcmClyKszWyyyeYiSPELBA8qeAtJNqtb9qMmu4L_3tStpXpxLjMwz7zMzIvQMeBzAMLm2rg4wcDiBDLIxB4aA095zAV-2d-pR2jq_RKHIEAzSg7RKMkIJZDSMZo9lpVtuqjvrCsbG7l-1fXORmUTeaOcs_l3q_dH6KBQlbfTTZ6g5-urp8VtfP9wc7e4vI814SDiIhXANeYGmNbCEG2IyYkFm9AUkzwRTAnCFGMqI4UQCkiKC8CFKbK00MyQCboYdFe9rm1uwnJOVXLlylq5T9mqUv7uNOWbfG0_ZMopZ5wGgdlGwLXvvfWdrEtvbFWpxra9l5BlQClPOAT09A-6bHvXhPPWFGaCpDQJ1HygjGu9d7bYLgNYro2QwQi5NkIORoSJk90btvzP2wNwNgC6Xv6r9gXeWZAv</recordid><startdate>20170324</startdate><enddate>20170324</enddate><creator>Langhe, Ream</creator><creator>Shah, Umme Farwa</creator><creator>Alfathil, Attia</creator><creator>Gannon, Michael</creator><general>BMJ Publishing Group LTD</general><general>BMJ Case Reports</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170324</creationdate><title>Silent uterine rupture in scarred uterus</title><author>Langhe, Ream ; Shah, Umme Farwa ; Alfathil, Attia ; Gannon, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b3719-f5917b07c16bb9c3bc3cd3e1e24503d296a936a66a83f99a1350f10fcf85fb6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Asymptomatic</topic><topic>Blood pressure</topic><topic>Cesarean section</topic><topic>Cesarean Section - adverse effects</topic><topic>Childbirth & labor</topic><topic>Cicatrix</topic><topic>Europe (West)</topic><topic>Female</topic><topic>Fetuses</topic><topic>Headache - etiology</topic><topic>Hematuria</topic><topic>Humans</topic><topic>Laparotomy</topic><topic>Maternal mortality</topic><topic>Morbidity</topic><topic>Nausea - etiology</topic><topic>Pain</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - surgery</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><topic>Unusual Presentation of More Common Disease/Injury</topic><topic>Uterine Rupture - diagnosis</topic><topic>Uterine Rupture - mortality</topic><topic>Uterine Rupture - surgery</topic><topic>Uterus</topic><topic>Vagina</topic><topic>White</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Langhe, Ream</creatorcontrib><creatorcontrib>Shah, Umme Farwa</creatorcontrib><creatorcontrib>Alfathil, Attia</creatorcontrib><creatorcontrib>Gannon, Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Langhe, Ream</au><au>Shah, Umme Farwa</au><au>Alfathil, Attia</au><au>Gannon, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Silent uterine rupture in scarred uterus</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2017-03-24</date><risdate>2017</risdate><volume>2017</volume><spage>bcr-2016-218189</spage><pages>bcr-2016-218189-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Uterine rupture in pregnancy is a rare and catastrophic complication with a high incidence of fetal and maternal morbidity. Very few cases have been reported in the literature.Case presentationA 28-year-old fifth gravid woman with a history of one caesarean section presented to our department at 39 weeks and 6 days gestation with complaints of headache, epigastric pain and nausea. Her blood pressure was elevated and there was proteinuria. Emergency caesarean section was performed in view of symptoms. Uterine rupture was found during the surgery. A live male infant was delivered in good condition. Postnatal recovery was unremarkable and the woman discharged on postoperative day 5.ConclusionRupture of the uterus can present in third trimester even before labour with minimal or no symptoms.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28343154</pmid><doi>10.1136/bcr-2016-218189</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Adult Asymptomatic Blood pressure Cesarean section Cesarean Section - adverse effects Childbirth & labor Cicatrix Europe (West) Female Fetuses Headache - etiology Hematuria Humans Laparotomy Maternal mortality Morbidity Nausea - etiology Pain Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - surgery Surgery Ultrasonic imaging Unusual Presentation of More Common Disease/Injury Uterine Rupture - diagnosis Uterine Rupture - mortality Uterine Rupture - surgery Uterus Vagina White |
| title | Silent uterine rupture in scarred uterus |
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