Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term

Background: Uterine rupture of an unscarred primigravid uterus is an exceedingly rare event. Cases of spontaneous rupture of an unscarred bicornuate uterus have been reported, but typically occur in the first or second trimester. Case: A 28-year-old primigravida at 37 weeks gestation with a known bi...

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Main Authors: Brad Nitzsche, Maggie Dwiggins, Susan Catt
Format: Article
Language:English
Published: Elsevier 2017-07-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911217300243
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author Brad Nitzsche
Maggie Dwiggins
Susan Catt
author_facet Brad Nitzsche
Maggie Dwiggins
Susan Catt
author_sort Brad Nitzsche
collection DOAJ
description Background: Uterine rupture of an unscarred primigravid uterus is an exceedingly rare event. Cases of spontaneous rupture of an unscarred bicornuate uterus have been reported, but typically occur in the first or second trimester. Case: A 28-year-old primigravida at 37 weeks gestation with a known bicornuate uterus and no prior surgery underwent an emergent cesarean section after presenting with severe abdominal pain and signs of fetal compromise. She was found to have a uterine rupture with the fetus free in the abdomen accompanied by a large hemoperitoneum. Both mother and baby did well postoperatively. Conclusion: Bicornuate uterus may be an independent risk factor for uterine rupture, which can occur in primigravid patients and at any gestation.
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spelling doaj.art-4100b03408db48fc8833b1a41d4cfdc12022-12-22T01:24:17ZengElsevierCase Reports in Women's Health2214-91122017-07-0115C1210.1016/j.crwh.2017.03.004Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at termBrad NitzscheMaggie DwigginsSusan CattBackground: Uterine rupture of an unscarred primigravid uterus is an exceedingly rare event. Cases of spontaneous rupture of an unscarred bicornuate uterus have been reported, but typically occur in the first or second trimester. Case: A 28-year-old primigravida at 37 weeks gestation with a known bicornuate uterus and no prior surgery underwent an emergent cesarean section after presenting with severe abdominal pain and signs of fetal compromise. She was found to have a uterine rupture with the fetus free in the abdomen accompanied by a large hemoperitoneum. Both mother and baby did well postoperatively. Conclusion: Bicornuate uterus may be an independent risk factor for uterine rupture, which can occur in primigravid patients and at any gestation.http://www.sciencedirect.com/science/article/pii/S2214911217300243BicornuateUterine rupturePrimigravidMullerian
spellingShingle Brad Nitzsche
Maggie Dwiggins
Susan Catt
Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term
Case Reports in Women's Health
Bicornuate
Uterine rupture
Primigravid
Mullerian
title Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term
title_full Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term
title_fullStr Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term
title_full_unstemmed Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term
title_short Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term
title_sort uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term
topic Bicornuate
Uterine rupture
Primigravid
Mullerian
url http://www.sciencedirect.com/science/article/pii/S2214911217300243
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AT maggiedwiggins uterineruptureinaprimigravidpatientwithanunscarredbicornuateuterusatterm
AT susancatt uterineruptureinaprimigravidpatientwithanunscarredbicornuateuterusatterm