RUPTURE OF AN UNSCARRED UTERUS IN A NULLIPAR PREGNANT WOMEN WITH A HISTORY OF CURETTAGE: CASE REPORT

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SHIRAZI MAHBOOBEH; RAHIMI SHARBAF FATEMEH; MOOSAVI SEYED AKBAR

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Journal: Tehran University Medical Journal Year:2015 | Volume:73 | Issue:2 Page(s): 138-142

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Title

RUPTURE OF AN UNSCARRED UTERUS IN A NULLIPAR PREGNANT WOMEN WITH A HISTORY OF CURETTAGE: CASE REPORT

Author(s)

SHIRAZI MAHBOOBEH | RAHIMI SHARBAF FATEMEH | MOOSAVI SEYED AKBAR | Issue Writer Certificate

Keywords

CASE REPORTSQ2

CURETTAGEQ2

NULLIPAROUSQ3

PREGNANCYQ3

UTERINE RUPTUREQ3

Abstract

Background: Rupture of uterus is a catastrophic complication associated with significant maternal and fetal morbidity and mortality. The prevalence of an unscarred UTERINE RUPTURE is very rare. Although the most important complication of dilatation and CURETTAGE is perforation of uterus, dilatation and CURETTAGE is not introduced as an important cause of UTERINE RUPTURE.Case presentation: Here we present a case of UTERINE RUPTURE in a pregnant woman that was admitted in Tehran General Women Hospital, in December 2014, with reducing fetal movement in her 41th weeks of PREGNANCY. She did not have any risk factors for rupture of uterus including cephalo-pelvic disproportion and polyhydramnios, also there was no history of uterine surgery such as myomectomy and uterine abnormality repair.A term dead male neonate was delivered by cesarean section due to arrest of descending in stage 2 of labor. The baby weighed 3400 gr and had anomaly in ears, larynx, uvula and soft palate. Its chromosomal study depicted both trisomy and monosomy for chromosome 13 and 21. Mother had a history of illegal CURETTAGE and trauma to the uterus in her first PREGNANCY two years ago. She did not say to us this history and abortion during admission. After cesarean section we saw that in the left side of the posterior wall of uterus was ruptured and baby was died. At surgical exploration, moderate hemoperitoneum was evident. Fetus was already dead at the time of extraction. Total estimated blood loss was 100 ml, the patient was transfused with two units of packed cell. The woman was discharged on the fifth postoperative day in good condition.Conclusion: Effective contraception and safe CURETTAGE can reduce maternal mortality and morbidity. Also special attention to a history of CURETTAGE to predict UTERINE RUPTURE is critical.

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APA: Copy

SHIRAZI, MAHBOOBEH, RAHIMI SHARBAF, FATEMEH, & MOOSAVI, SEYED AKBAR. (2015). RUPTURE OF AN UNSCARRED UTERUS IN A NULLIPAR PREGNANT WOMEN WITH A HISTORY OF CURETTAGE: CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 73(2), 138-142. SID. https://sid.ir/paper/38880/en

Vancouver: Copy

SHIRAZI MAHBOOBEH, RAHIMI SHARBAF FATEMEH, MOOSAVI SEYED AKBAR. RUPTURE OF AN UNSCARRED UTERUS IN A NULLIPAR PREGNANT WOMEN WITH A HISTORY OF CURETTAGE: CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2015;73(2):138-142. Available from: https://sid.ir/paper/38880/en

IEEE: Copy

MAHBOOBEH SHIRAZI, FATEMEH RAHIMI SHARBAF, and SEYED AKBAR MOOSAVI, “RUPTURE OF AN UNSCARRED UTERUS IN A NULLIPAR PREGNANT WOMEN WITH A HISTORY OF CURETTAGE: CASE REPORT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 73, no. 2, pp. 138–142, 2015, [Online]. Available: https://sid.ir/paper/38880/en

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