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. 2022 Sep 21;93(S1):e2022269.
doi: 10.23750/abm.v93iS1.12872.

Uterine rupture after previous caesarean section with hysterotomy above the lower uterine segment

Miriam Dellino  1 , Francesco Maria Crupano  2 , Xuemin He  3 , Antonio Malvasi  4 , Antonella Vimercati  5
Affiliations

Uterine rupture after previous caesarean section with hysterotomy above the lower uterine segment

Miriam Dellino et al. Acta Biomed. .

Abstract

Background Spontaneous uterine rupture is a severe pregnancy complication. Several risk factors have been described, especially for women with a previous caesarean section. Method We reported two cases of uterine rupture (UR) occurring outside of labour in patients with a history of caesarean section (CS) due to placenta previa. Results: The current study evaluates how a higher hysterotomy, combined with some risk factors, can increase the prevalence of UR in the subsequent pregnancy. Conclusion This study supports that a careful evaluation of risk factors can identify patients who need a specific follow up to early diagnose and treat UR and thus improve the maternal-fetal outcome.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Case 1: a) Ultrasound evaluation with placenta previa which goes up on the anterior uterine wall for 50 mm (yellow line) b) High hysterorraphy and distance from uterine vesicular plica (yellow line) c) Rupture of uterus on scar (blue arrow) at 22 weeks and expulsion fetus in the abdomen
Figure 2.
Figure 2.
Case 2: a) Transversal hysterotomy above the LUS in precedent pregnancy (2017) b) Hysterorraphia performed 45 mm above bladder fold (yellow line) c) Six months post CS-US evaluation shows sagittal scan retro-verse uterus with scar -bladder fold distance of 42,2 mm
See this image and copyright information in PMC

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