Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report
Abstract Background There is need to put forward more symptoms and signs that could suggest a diagnosis of uterine rupture so that clinicians’ suspicion is increased; there is also need to put forward uncommon intraoperative findings in patients with uterine rupture to correlate with the signs and s...
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-021-03990-4 |
| _version_ | 1818455128164794368 |
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| author | Alfred Lumala Vicent Atwijukire |
| author_facet | Alfred Lumala Vicent Atwijukire |
| author_sort | Alfred Lumala |
| collection | DOAJ |
| description | Abstract Background There is need to put forward more symptoms and signs that could suggest a diagnosis of uterine rupture so that clinicians’ suspicion is increased; there is also need to put forward uncommon intraoperative findings in patients with uterine rupture to correlate with the signs and symptoms of patients. Case presentation A 33 year old Gravida 5 Para 4 + 0 with 2 previous caesarean section scars at 28 weeks of amenorrhoea, presented to hospital complaining of lower abdominal pain for 11 h. She had no vaginal bleeding or vaginal discharge or pain on passing urine. On examination she had no pallor, pulse rate was 84 bpm, blood pressure was 110/80 mm of mercury (mmHg), fundal height was 27 cm (cm), fetal heart rate was regular at 150 beats per minute (bpm) and her cervix had a parous os. She was diagnosed with preterm labour and given dexamethasone intramuscularly, then an obstetric ultrasound scan was done and it revealed severe oligohydramnios. Decision do deliver her by emergency caesarean section was made and intraoperative findings were of a uterine rupture along the uterine scar with a fetal arm protruding through and vernix caseosa in the peritoneal cavity, without active uterine bleeding. The patient recovered well postoperatively. Conclusions There is need to suspect uterine rupture in pregnant women with previous caesarean section scars if they present with abdominal pain and are found to have severe oligohydramnios despite having no history of any vaginal discharge, even when the fetal heart rate is normal and they are haemodynamically stable and without vaginal bleeding and remote from term. |
| first_indexed | 2024-12-14T22:05:51Z |
| format | Article |
| id | doaj.art-b49f693e59cf4098b1e5048d85964ec0 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-14T22:05:51Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-b49f693e59cf4098b1e5048d85964ec02022-12-21T22:45:52ZengBMCBMC Pregnancy and Childbirth1471-23932021-07-012111310.1186/s12884-021-03990-4Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case reportAlfred Lumala0Vicent Atwijukire1Kitovu HospitalKitovu HospitalAbstract Background There is need to put forward more symptoms and signs that could suggest a diagnosis of uterine rupture so that clinicians’ suspicion is increased; there is also need to put forward uncommon intraoperative findings in patients with uterine rupture to correlate with the signs and symptoms of patients. Case presentation A 33 year old Gravida 5 Para 4 + 0 with 2 previous caesarean section scars at 28 weeks of amenorrhoea, presented to hospital complaining of lower abdominal pain for 11 h. She had no vaginal bleeding or vaginal discharge or pain on passing urine. On examination she had no pallor, pulse rate was 84 bpm, blood pressure was 110/80 mm of mercury (mmHg), fundal height was 27 cm (cm), fetal heart rate was regular at 150 beats per minute (bpm) and her cervix had a parous os. She was diagnosed with preterm labour and given dexamethasone intramuscularly, then an obstetric ultrasound scan was done and it revealed severe oligohydramnios. Decision do deliver her by emergency caesarean section was made and intraoperative findings were of a uterine rupture along the uterine scar with a fetal arm protruding through and vernix caseosa in the peritoneal cavity, without active uterine bleeding. The patient recovered well postoperatively. Conclusions There is need to suspect uterine rupture in pregnant women with previous caesarean section scars if they present with abdominal pain and are found to have severe oligohydramnios despite having no history of any vaginal discharge, even when the fetal heart rate is normal and they are haemodynamically stable and without vaginal bleeding and remote from term.https://doi.org/10.1186/s12884-021-03990-4Previous caesarean sectionSevere oligohydramniosHaemodynamically stableCase report |
| spellingShingle | Alfred Lumala Vicent Atwijukire Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report BMC Pregnancy and Childbirth Previous caesarean section Severe oligohydramnios Haemodynamically stable Case report |
| title | Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report |
| title_full | Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report |
| title_fullStr | Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report |
| title_full_unstemmed | Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report |
| title_short | Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report |
| title_sort | non haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section a case report |
| topic | Previous caesarean section Severe oligohydramnios Haemodynamically stable Case report |
| url | https://doi.org/10.1186/s12884-021-03990-4 |
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