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Kim, Lee, Jeon, Choi, Cho, Kim, and Bae: A case of ruptured gravid uterus at 35 weeks' gestation after cornual resection
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(3): 183-186.

Published online: 15 March 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.3.183

A case of ruptured gravid uterus at 35 weeks' gestation after cornual resection

Min-Jeong Kim, MD, Mi-Ra Lee, MD, Hye-Ji Jeon, MD, Sl-A Choi, MD, Eun-Kyu Cho, MD, Yun-Sook Kim, MD, Dong-Han Bae, MD

Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, University of Soonchunhyang College of Medicine, Cheonan, Korea.

Corresponding author: Yun-Sook Kim, MD. Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, 8 Soonchunhyang 6-gil, Dongnam-gu, Cheonan 330-930, Korea. Tel: +82-41-570-2150, Fax: +82-41-571-7887, drsook@schmc.ac.kr

Received 3 December 2011       Revised 31 December 2011       Accepted 26 January 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Uterine rupture in pregnancy is a rare condition, but an obstetric emergency. It threatens the life of both the mother and the newborn. Hemorrhage from the wound surface is the principal complication. Therefore, mortality rates strongly depend on the time elapsed between onset and diagnosis of the uterine rupture, and on the possibility of immediate surgical intervention. Prompt diagnosis of the uterine rupture is of prime importance. The major risk factor for uterine rupture is previous cesarean delivery. Other risk factors identified as contributing to uterine rupture are malpresentations, second stage dystocia, labor induction, use of epidural for pain control, preterm delivery and delivery after the 42nd week of gestation. We experienced a woman with a history of corneal resection 1 year ago, who suffered uterine rupture at 35 weeks' gestation during preterm labor.

Keywords: Uterine rupture, Cornual resection, Preterm labor

Figures and Tables

Fig. 1
Transabdominal ultrasonography shows 90 × 70 mm sized concealed hematoma between left uterine wall and placenta.
kjog-55-183-g001
Fig. 2
In the left cornual area, 80 mm sized huge ruptured site (arrow) was seen at the operating field.
kjog-55-183-g002

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