A case report of delayed diagnosis of uterine rupture following vaginal delivery

Journal Title: International Journal of Medical Reviews and Case Reports - Year 2017, Vol 1, Issue 2

Abstract

Introduction: A uterine rupture is still a rare event but its incidence appears to be increasing, even in the unscarred uterus. In our case, the uterine rupture presented itself in an unscarred uterus and after a vaginal delivery. Case report: A 36 years old women with three previous normal deliveries, comes to our hospital for assistance at 32 weeks with a poor pregnancy surveillance. After diagnosing Gestational Diabetes, she is admitted for therapeutic adjustment. She is discharged after achieving metabolic control but comes back a few days later with a stillbirth, born by vaginal delivery. Six days later she presents with: fever and pain; anemia leukocytosis and a heterogeneous image on ultrasound. However, was decided to start intravenous antibiotics before choosing for surgery. Her condition worsens and an exploratory laparotomy is done: a posterior uterine wall rupture that required a hysterectomy. Conclusion: Risk factors for uterine rupture were present (maternal age over 35, higher parity, fetal macrosomia) but the absence of any symptom, the normal examination after delivery, and mostly, an unscarred uterus, resulted in a delay in the diagnosis of more than one week, leading to catastrophic consequences: hysterectomy. This case reminds us that uterine rupture happens not only in case of previous uterine surgery, and these cases seem to be increasing because of the increase in other risk factors: advanced maternal age and diabetes with resulting fetal macrosomia.

Authors and Affiliations

Vanessa Falé Rosado, Sara Rocha, Catarina Vasconcelos, Maria Luisa Martins, Maria José Alves

Keywords

Related Articles

Vulvar non-filarial elephantiasis associated with scabies

Vulvar elephantiasis is a very rare condition often caused by filariasis infection. Other causes like general inflammatory disease, cancer treatment, traumatic causes or other infections can also explain the occurrence o...

Case Report: Bilateral Ainhum in a 6-year-old Black African Male child

Background: Ainhum is an uncommon surgical condition and rarer still in children, and is gradually disappearing due to improved socioeconomic condition of the populace. This has consequently led to paucity of literature...

DETECTION OF MALASSEZIA SPECIES IN PATIENTS OF PITYRIASIS VERSICOLOR AND SEBORRHEIC DERMATITIS USING NESTED-PCR IN DR. WAHIDIN SUDIROHUSODO GENERAL HOSPITAL AND ITS NETWORK HOSPITAL MAKASSAR IN 2018

Introduction Malassezia is a lipophilic dimorphic fungus belonging to the normal flora of human skin which might cause superficial mycosis on humans in the form of pityriasis versicolor and may accompany seborrheic derma...

The Most Cited Works in Transanal Endoscopic Microsurgery: Bibliometric analysis of 50 most cited articles and trend in citation classics

Background The number of times that a published article is cited is one indicator of its scientific impact. There is an abundance of articles published on transanal endoscopic microsurgery [TEMs]. Bibliometric analyses a...

A case report of delayed diagnosis of uterine rupture following vaginal delivery

Introduction: A uterine rupture is still a rare event but its incidence appears to be increasing, even in the unscarred uterus. In our case, the uterine rupture presented itself in an unscarred uterus and after a vaginal...

Download PDF file
  • EP ID EP427900
  • DOI 10.5455/IJMRCR.uterine-rupture-delayed-diagnosis
  • Views 164
  • Downloads 0

How To Cite

Vanessa Falé Rosado, Sara Rocha, Catarina Vasconcelos, Maria Luisa Martins, Maria José Alves (2017). A case report of delayed diagnosis of uterine rupture following vaginal delivery. International Journal of Medical Reviews and Case Reports, 1(2), 36-40. https://www.europub.co.uk/articles/-A-427900