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Ginecología y obstetricia de México
versão impressa ISSN 0300-9041
Resumo
IBARGUENGOITIA OCHOA, Francisco; MIRANDA ARAUJO, Osvaldo e LOPEZ TORRES, María Fernanda. Spontaneous and undetected uterine rupture. Case report. Ginecol. obstet. Méx. [online]. 2023, vol.91, n.11, pp.857-860. Epub 08-Mar-2024. ISSN 0300-9041. https://doi.org/10.24245/gom.v91i11.8879.
BACKGROUND:
Uterine rupture is a separation of the three layers of the uterus and is associated with a uterine scar. Most cases are related to an attempted labor after a cesarean section. Uterine rupture is a serious complication that puts both mother and fetus at risk. Exceptionally uterine rupture can occur without symptoms, being a finding during a repeat cesarean section.
CLINICAL CASE:
A 27-year-old patient scheduled for repeat cesarean section due to dysfunction of a prosthetic valve. Upon opening the abdominal cavity, no hemoperitoneum was found and a transverse defect was visualized in the lower uterine segment of the three uterine layers, with an intact amniotic sac, coinciding with uterine rupture. A healthy newborn was obtained, weighing 2610 g and Apgar 9-9. The uterine wound was sutured in two planes and bilateral tubal occlusion was performed. The evolution during the puerperium was satisfactory.
CONCLUSIONS:
Uterine rupture may go unnoticed due to an oversight in the clinical history and auscultation, hence the need to be more thorough in order to indicate appropriate treatment.
Palavras-chave : Silent uterine rupture; Scarred uterus; Cesarean section; Bilateral tubal occlusion.