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Case Reports
. 2014 Sep 8:2014:bcr2014204364.
doi: 10.1136/bcr-2014-204364.

Spontaneous rupture of uterine leiomyoma during labour

Nikki Ramskill  1 , Aisha Hameed  1 , Yusuf Beebeejaun  1
Affiliations
Case Reports

Spontaneous rupture of uterine leiomyoma during labour

Nikki Ramskill et al. BMJ Case Rep. .

Abstract

Uterine rupture in labour requires an emergency caesarean section. In women with a uterine scar, either from gynaecological surgery or from a previous caesarean section, it is well documented that the risk of rupture is higher than in those without. Spontaneous uterine rupture in a uterus with fibroids during pregnancy or labour is extremely rare. We present a case of a 33-year-old, unbooked pregnant woman from Nigeria who had a uterine rupture secondary to fibroids. She required an emergency caesarean section in labour. The fibroids were not removed. Her baby was born alive and in good condition and she made an uneventful recovery.

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Figures

Figure 1
Figure 1
Suspicious cardiotocography at time of artificial rupture of membranes prior to becoming pathological.
Figure 2
Figure 2
Cardiotocography at the time of sudden deterioration 00:30 onwards.
Figures 3
Figures 3
Ruptured fibroid on the uterus at the time of caesarean section.
Figure 4
Figure 4
Ruptured fibroid on the uterus at the time of caesarean section.
See this image and copyright information in PMC

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