Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 3 , Pages 250-252, September 2006

Silent Uterine Rupture in an Unscarred Uterus

  • Chuan-Yaw Chang

      Affiliations

    • Department of Obstetrics and Gynecology, Taipei Medical University-Wan Fan Hospital, Taipei, Taiwan
    • ,
  • Szu-Yuan Chou

      Affiliations

    • Department of Obstetrics and Gynecology, Taipei Medical University-Wan Fan Hospital, Taipei, Taiwan
    • Institute of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan
    • ,
  • I-Lin Chu

      Affiliations

    • Department of Obstetrics and Gynecology, Taipei Medical University-Wan Fan Hospital, Taipei, Taiwan
    • ,
  • Chun-Sen Hsu

      Affiliations

    • Department of Obstetrics and Gynecology, Taipei Medical University-Wan Fan Hospital, Taipei, Taiwan
    • ,
  • Kenny Hui-Hua Chian

      Affiliations

    • Institute of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan
    • ,
  • Pui-Ki Chow

      Affiliations

    • Department of Obstetrics and Gynecology, Taipei Medical University-Wan Fan Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Pui-Ki Chow, Department of Obstetrics and Gynecology, Taipei Medical University-Wan Fan Hospital, 111, Hsing-Long Road, Section 3, Taipei 116, Taiwan

Accepted 2 May 2006.

Article Outline

Summary 

Objective

Uterine rupture is one of the most serious obstetric complications, with an increased risk of maternal and perinatal morbidity, and even mortality.

Case Report

A multiparous woman came to our labor room at 41 weeks of gestation for induction of labor due to being post-term and having a nonreactive nonstress test. She had no history of abdominal or gynecologic surgery. Emergent cesarean section was performed due to prolonged decelerations shown on the fetal monitor. A 12 cm uterine laceration was identified after opening the abdominal cavity. Fortunately, her uterus was preserved and her postoperative condition was stable.

Conclusion

To avoid maternal and fetal morbidity, or even mortality, obstetricians should be aware of the possible existence of uterine rupture in an unscarred uterus.

Key Words:  prostaglandin E2 , silent rupture , unscarred uterine rupture

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Wang PH , Yuan CC , Chao HT , Yang MJ , Ng HT . Posterior uterine wall rupture during labor . Hum Reprod . 2000;15:1198–1199
  2. Pan HS , Huang LW , Hwang JL , Lee CY , Tsai YL , Cheng WC . Uterine rupture in an unscared uterus after application of fundal pressure . J Reprod Med . 2002;47:1044–1046
  3. Sheiner E , Levy A , Katz M , Mazor M . Identifying risk factors for peripartum cesarean hysterectomy. A population-based study . J Reprod Med . 2003;48:622–626
  4. Mathews JE , Mathai M , George A . Uterine rupture in a multiparous woman during labor induction with oral misoprostol . Int J Obstet Gynecol . 2000;68:43–44
  5. Kapoor DS , Sharma SD , Alfirevic Z . Management of unscared ruptured uterus . J Perinat Med . 2003;31:337–339
  6. Shipp TD , Zelop CM , Repke JT , Cohen A , Lieberman E . Interdelivery interval and risk of symptomatic uterine rupture . Obstet Gynecol . 2001;97:175–177
  7. Bujold E , Gauthier RJ . Neonatal morbidity associated with uterine rupture: what are the risk factors? . Am J Obstet Gynecol . 2002;186:311–314

PII: S1028-4559(09)60235-7

doi:10.1016/S1028-4559(09)60235-7

Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 3 , Pages 250-252, September 2006

Article Tools