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Case Reports
. 2015 Jan;7(1):56-8.
doi: 10.14740/jocmr1922w. Epub 2014 Oct 16.

Spontaneous postpartum rupture of an intact uterus: a case report

George Mavromatidis  1 , George Karavas  1 , Chrysoula Margioula-Siarkou  1 , Stamatios Petousis  1 , Ioannis Kalogiannidis  1 , Apostolos Mamopoulos  1 , David Rousso  1
Affiliations
Case Reports

Spontaneous postpartum rupture of an intact uterus: a case report

George Mavromatidis et al. J Clin Med Res. 2015 Jan.

Abstract

Rupture of uterus is an obstetrical complication characterized by a breach in the uterine wall and the overlying serosa. We report an unusual case of spontaneous rupture of an unscarred uterus in a 33-year-old woman, a day after her third successful vaginal delivery. A 33-year-old pregnant woman, gravid 3, para 3, was referred to our department at 39 gestational week because of rupture of membranes. Despite tocolysis administration, her pregnancy was delivered vaginally after 2 days, giving birth to a male neonate of 3,020 g with normal Apgar scores at first and fifth minute. Her uterus was intact and gynecological examination after delivery was normal without any potential signs or symptoms of pathology. However, the day following her labor, patient complained of left iliac fossa pain. Her blood tests revealed a CRP value at 27.6 mg/L, whereas the X-rays revealed an extensive impacted fecal mass in the colon. MRI revealed that the left lower myometrial part of the uterus was depicted abrupt, with simultaneous presence of hemorrhagic stuff. The decision of laparotomy was therefore made in order to further evaluate rupture of uterus and properly treat patient. And subtotal hysterectomy was performed. Postoperative follow-up period was not characterized by any complications and patient was finally discharged 4 days after hysterectomy.

Keywords: Postpartum rupture; Unscarred uterus; Uterine rupture; Vaginal delivery.

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Figures

Figure 1
Figure 1
MRI of left lower myometrial part of the uterus: abruption with simultaneous presence of hemorrhagic stuff.
See this image and copyright information in PMC

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