Successful conservative management of a spontaneous hemorrhagic uterine rupture at 18 weeks of gestation.
Conservative management
Hemoperitoneum
Uterine rupture
Journal
Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
04
01
2022
revised:
19
03
2022
accepted:
13
04
2022
pubmed:
1
5
2022
medline:
25
5
2022
entrez:
30
4
2022
Statut:
ppublish
Résumé
Prelabor uterine rupture is a very rare complication of pregnancy that in most cases occurs when there is a history of uterine surgery. Maternal and neonatal morbidity is significant. Most often, the pregnancy must be terminated to rescue both the mother and the newborn, if possible. We report the case of a patient who had a pre-labor uterine rupture at 18 weeks of gestation (WG) complicated by massive hemoperitoneum. Emergency surgery with conservative management allowed the pregnancy to continue until 32+3 WG. In very rare situations of uterine rupture at a very early term, conservative management appears to be an acceptable solution to allow the pregnancy to continue until a sufficient gestational age to limit complications related to prematurity.
Identifiants
pubmed: 35489714
pii: S2468-7847(22)00075-7
doi: 10.1016/j.jogoh.2022.102396
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
102396Informations de copyright
Copyright © 2022 Elsevier Masson SAS. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors have no relevant financial or non-financial interests to disclose.