+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Term delivery after repair of a uterine rupture during the second trimester in a previously unscarred uterus



Term delivery after repair of a uterine rupture during the second trimester in a previously unscarred uterus



Journal of Reproductive Medicine 52(10): 981-983



BACKGROUND: Rupture of the unscarred gravid uterus is very rare. The event occurs mostly during the intrapartum period and is potentially catastrophic for both mother and fetus. The management in general is prompt termination of pregnancy and hysterectomy.CASE: A successful term delivery followed spontaneous rupture of the uterus during the second trimester and surgical repair. The uterus ruptured with no apparent risk factors at 26 weeks of gestation. The rent, at the right side of the fundus, was repaired without damaging the amniotic membrane. After the operation, the patient received tocolysis for irregular uterine contractions until 37 weeks' gestation and delivered a healthy, male infant by cesarean section.CONCLUSION. Spontaneous rupture of a nonlaboring, unscarred uterus, especially in the second trimester, is extremely rare. This report suggests that conservative treatment for spontaneous rupture of the uterus before fetal maturity may be considered as an alternative to hysterectomy.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 017263428

Download citation: RISBibTeXText

PMID: 17977183


Related references

Prelabor third-trimester uterine rupture in an unscarred uterus with occlusion by fetal small parts: a case report. Journal of Reproductive Medicine 55(9-10): 437-440, 2010

Uterine rupture on unscarred uterus following labor induction for 2(nd) trimester termination of pregnancy with oral misoprostol: conservative management. Journal de Gynecologie Obstetrique et Biologie de la Reproduction 31(4): 371-373, 2002

Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term. Case Reports in Women's Health 15: 1-2, 2017

Placenta Percreta With Spontaneous Rupture of an Unscarred Uterus in the Second Trimester. Obstetrics and Gynecology 98(5, Part 2): 927-929, 2001

Placenta percreta with spontaneous rupture of an unscarred uterus in the second trimester. Obstetrics and Gynecology 98(5 Part 2): 927-929, 2001

Rupture in an unscarred uterus during second trimester pregnancy termination with mifepristone and misoprostol. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics 87(1): 42-43, 2004

Spontaneous rupture of unscarred uterus at early mid-trimester due to placenta percreta. Journal of Obstetrics and Gynaecology 24(6): 705, 2004

Silent rupture of unscarred uterus: an unusual presentation at second trimester abortion. Archives of Gynecology and Obstetrics 275(4): 283-285, 2007

Nine-week survival of the fetus following spontaneous mid-trimester rupture of an unscarred uterus. Proceedings of the Royal Society of Medicine 70(8): 533-534, 1977

Silent uterine rupture in an unscarred uterus. Taiwanese Journal of Obstetrics and Gynecology 45(3): 250-252, 2006

Uterine rupture of the unscarred uterus. About 28 cases. Gynecologie Obstetrique and Fertilite 31(9): 713-717, 2003

Postpartum uterine rupture in an unscarred uterus. Journal of Obstetrics and Gynaecology 36(3): 393-394, 2016

Silent rupture of an unscarred uterus at third-trimester abortion correlated with an unrecognized perforation. Clinical and Experimental Obstetrics and Gynecology 39(3): 394-395, 2012

Unscarred uterine cervical rupture during second-trimester termination using misoprostol. Taiwanese Journal of Obstetrics and Gynecology 46(4): 445-447, 2007

Uterine rupture among patients with scarred and unscarred uterus. American Journal of Obstetrics and Gynecology 187(6 Suppl.): S111, 2002