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Year 2019

Volume: 6 , Issue: 3

Print ISSN:-2394-2746

Online ISSN:-2394-2754

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Indian Journal of Obstetrics and Gynecology Research


Spontaneous Fundal Uterine Rupture Sparing Cesarean Scar at 32 weeks of Gestation: A Case Report and Review of Literature


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Author Details: Ayman Shehata Dawood, Abdelghaffar Said Dawood

Volume : 4

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 309

Article End Page : 311


Abstract

Introduction: Uterine rupture is a catastrophic emergency in obstetrics requiring immediate surgical intervention to improve maternal outcome. Fetal outcomes are almost poor even if it is still alive and the case was presenting very early after uterine rupture. Usually uterus ruptures at the lower segment (weakest part) if there is no history of uterine surgery. Fundal rupture usually occurs after previous classic cesarean delivery or previous uterine surgery.
Case Report: A 27 years old patient G3P1+1, 32 weeks of gestation presented with hypovolemic shock. History and ultrasound raise suspicion of uterine rupture. Exploration revealed hemoperitoneum and fundal uterine rupture about 10 cm which was repaired and bilateral tubal ligation was done and patient was discharged after 5 days. The positive history of previous curettage supports the finding of fundal rupture with intact cesarean scar.
Conclusion: Uterine rupture should be suspected in patient presenting with abdominal pains during pregnancy in presence of uterine scar. The history of uterine curettage raises the suspicion of uterine rupture.

Keywords:
Spontaneous, Fundal Uterine Rupture, Cesarean Scar, Third trimester