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Uterine Rupture

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61. Trial of labor after myomectomy and uterine rupture: a systematic review. (PubMed)

Trial of labor after myomectomy and uterine rupture: a systematic review. There is concern about the risk of uterine rupture in the subsequent pregnancy after myomectomy. This risk is reported in literature to be around 0.7-1%. The aim of this study was to evaluate the incidence of uterine rupture and associated risk factors in women who had a trial of labor after prior myomectomy.A systematic review of the literature was performed including all cohort studies with at least five cases reporting (...) outcomes of pregnancies after prior myomectomy. The terms "myomectomy", "pregnancy", "trial of labor" and "uterine rupture" were used in PubMed and EMBASE searches for identification purposes. Every reference was reviewed for possible inclusion and all eligible cases of uterine rupture were considered.Twenty-three studies with at least five cases of pregnancy after myomectomy were identified, with an overall incidence of uterine rupture of 0.6% (0.3-1.1%) (n = 11/1825). Of these 23 studies, 11 studies

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2016 Acta Obstetricia et Gynecologica Scandinavica

62. Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy (PubMed)

Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy A 44-year-old nulliparous woman was transferred to a tertiary obstetric hospital for investigation of acute onset abdominal pain. She was at gestation of 32 weeks and 2 days with a history of previous laparoscopic fundal myomectomy. An initial bedside ultrasound demonstrated oligohydramnios. Following an episode of increased pain early the following morning, a formal ultrasound diagnosed a uterine rupture with the fetal arm (...) extending through a uterine rent. An uncomplicated classical caesarean section was performed and the neonate was delivered in good condition but with a bruised and oedematous right arm. The neonate was transferred to the Special Care Nursery for neonatal care. The patient had an uncomplicated postoperative course and was discharged home three days following delivery. This is an unusual presentation of uterine rupture following myomectomy where the fetal arm had protruded through the uterine wall.

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2016 Case reports in obstetrics and gynecology

63. Posterior uterine rupture secondary to use of herbs leading to peritonitis and maternal death in a primigravida following vaginal delivery of a live baby in western Uganda: a case report (PubMed)

Posterior uterine rupture secondary to use of herbs leading to peritonitis and maternal death in a primigravida following vaginal delivery of a live baby in western Uganda: a case report Uterine rupture is a potentially avoidable complication resulting in poor perinatal and maternal outcomes. This case had a number of unusual features including delivery of a healthy live baby; spontaneous posterior uterine rupture in a primigravida (and unscarred uterus); and delayed presentation with signs (...) of peritonitis and sepsis rather than haemorrhage. A 19-year old primigravida had a vaginal delivery of a live infant at term, reporting having taken herbs to induce labour. She deteriorated and was transferred to our unit where she was found to have reduced consciousness, a distended abdomen and signs of sepsis. At laparotomy there was blood-stained ascites, signs of peritonitis and a posterior lower segment uterine rupture. A sub-total hysterectomy was performed but the patient's condition worsened

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2016 The Pan African medical journal

64. Uterine Artery Rupture After Induced Abortion and Extraction of an Intrauterine Device (PubMed)

Uterine Artery Rupture After Induced Abortion and Extraction of an Intrauterine Device 26879025 2017 02 01 2018 11 13 2542-5641 129 4 2016 Feb 20 Chinese medical journal Chin. Med. J. Uterine Artery Rupture After Induced Abortion and Extraction of an Intrauterine Device. 484-6 10.4103/0366-6999.176086 Yu Xiao-Ming XM Guan Jing J Department of Reproduction Medicine, Peking University People's Hospital, Beijing 100044, China. Sun Ting-Ting TT eng Case Reports Journal Article China Chin Med J (...) (Engl) 7513795 0366-6999 IM Abortion, Induced adverse effects Adult Device Removal Embolization, Therapeutic Female Humans Intrauterine Devices Pregnancy Uterine Artery Uterine Rupture etiology 2016 2 17 6 0 2016 2 18 6 0 2017 2 2 6 0 ppublish 26879025 ChinMedJ_2016_129_4_484_176086 10.4103/0366-6999.176086 PMC4800852 Obstet Gynecol Sci. 2015 May;58(3):256-9 26023677 Yonsei Med J. 2014 Mar;55(2):367-73 24532505 Clin Radiol. 2015 Dec;70(12):1388-92 26382745 Int J Gynaecol Obstet. 2014 Feb;124(2):176

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2016 Chinese medical journal

65. Uterine Rupture

Uterine Rupture Uterine Rupture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Uterine Rupture Uterine Rupture Aka: Uterine Rupture (...) , Uterine Scar Disruption , Rupture of Gravid Uterus , Rupture of Uterus During Labor From Related Chapters II. Epidemiology Overall risk: Up to 0.03 to 0.08% of all deliveries Uterine scar risk: Up to 0.3 to 1.7% of all deliveries with prior cesarean Low transverse scar ( , ): 0.8% risk: 0.06% III. Causes Rupture of uterine scar scar (most common cause) Prior uterine curettage or perforation High velocity collision More often in third trimester Associated with s and injury Typically affects uterine

2018 FP Notebook

66. Outcomes of Uterine Rupture

Outcomes of Uterine Rupture Outcomes of Uterine Rupture - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Outcomes of Uterine Rupture The safety and scientific validity of this study is the responsibility (...) of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02878226 Recruitment Status : Completed First Posted : August 25, 2016 Last Update Posted : June 27, 2018 Sponsor: Assiut University Information provided by (Responsible Party): Ahmed Mohamed Abbas, Assiut University Study Details Study Description Go to Brief Summary: Uterine rupture (UR) is a serious, life-threatening obstetric

2016 Clinical Trials

67. Management of uterine rupture: a case report and review of the literature (PubMed)

Management of uterine rupture: a case report and review of the literature Maternal morbidity and mortality has been a major World Health Organization concern over the years, especially in sub-Saharan Africa. This paper reports uterine rupture with severe hypovolemic shock managed at the Douala General Hospital, Cameroon. Early clinical diagnosis is paramount to maternal survival.Mrs. MM aged 25 years, G3P2012, of the Bamileke tribe in Cameroon was admitted to our Department in hypovolemic shock (...) BP = 70/40 mmHg, pulse 120 beats per minute, with altered consciousness (Glasgow Coma Scale = 13). She has a history of missed abortion at 19 weeks gestation and an attempt to evacuate the uterus with misoprostol that led to uterine rupture. She underwent a total abdominal hysterectomy and blood transfusion. Her post-operative stay in hospital was uneventful.Uterine rupture is a complication that can be eliminated under conditions of best obstetric practice. To attain this objective, use

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2016 BMC research notes

68. CT diagnosis and endovascular management of spontaneous rupture of uterine artery in pregnancy (PubMed)

CT diagnosis and endovascular management of spontaneous rupture of uterine artery in pregnancy Spontaneous rupture of the uterine artery during pregnancy is an extremely uncommon condition, which presents as an acute emergency, associated with high rates of maternal and foetal mortality. This condition is challenging to diagnose and treat, as it is an uncommon entity having an acute nature of presentation. They are usually managed by emergency laparotomy and the diagnosis is rarely made (...) preoperatively. We describe a case with CT angiographic images clearly demonstrating the uterine artery pseudoaneurysm with associated extensive haemoperitoneum, which helped us confirm this rare diagnosis. We successfully treated the patient by an endovascular approach, which has not been reported previously.

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2016 BJR | case reports

69. Uterine rupture in pregnancies following myomectomy: A multicenter case series (PubMed)

Uterine rupture in pregnancies following myomectomy: A multicenter case series The purpose of this case series was to retrospectively examine records of cases with uterine rupture in pregnancies following myomectomy and to describe the clinical features and pregnancy outcomes.This study was conducted as a multicenter case series. The patient databases at 7 tertiary hospitals were queried. Records of patients with a diagnosis of uterine rupture in the pregnancy following myomectomy between (...) January 2012 and December 2014 were retrospectively collected. The uterine rupture cases enrolled in this study were defined as follows: through-and-through uterine rupture or tear of the uterine muscle and serosa, occurrence from 24+0 to 41+6 weeks' gestation, singleton pregnancy, and previous laparoscopic myomectomy (LSM) or laparotomic myomectomy (LTM) status.Fourteen pregnant women experienced uterine rupture during their pregnancy after LSM or LTM. Preterm delivery of less than 34 weeks

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2016 Obstetrics & gynecology science

70. A case of spontaneous hemoperitoneum by uterine vessel rupture in pregnancy (PubMed)

A case of spontaneous hemoperitoneum by uterine vessel rupture in pregnancy A 27-year-old pregnant woman, para 1, was transferred to our hospital at 29+3 weeks of gestation complaining of abdominal pain. She was diagnosed with hemoperitoneum based on ultrasonography. An emergency laparotomy was performed, and the bleeding was confirmed to be caused by ruptured surface blood vessels on the uterine fundus. Hemostasis with compression was successfully performed to sustain the pregnancy (...) , and the patient delivered a full-term baby. Spontaneous hemoperitoneum during pregnancy caused by rupture of uterine blood vessels is very rare. It requires rapid diagnosis and surgical treatment because it increases the morbidity of the fetus and mother. In most incidences of spontaneous hemoperitoneum during pregnancy, a cesarean delivery is performed along with a simultaneous emergency laparotomy. However, in this case, the pregnancy was maintained to full term after surgical hemostasis, which prevented

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2016 Obstetrics & gynecology science

71. Spontaneous Rupture of Uterine Artery in a 14-Week Pregnant Woman (PubMed)

Spontaneous Rupture of Uterine Artery in a 14-Week Pregnant Woman We report a case of uterine artery rupture in a woman at 14 weeks' gestation who presented with abdominal pain, tachycardia, and hypotension and underwent a diagnostic laparoscopy. During this procedure, a spontaneous rupture of the left uterine artery was diagnosed and the surgery was converted into a laparotomy. The artery was bound to its origin and to its distal uterine portion. The patient exhibited excellent postoperative

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2016 Case reports in obstetrics and gynecology

72. Rupture of uterine artery pseudoaneurysm: role of ultrasonography in postpartum hemorrhage management (PubMed)

Rupture of uterine artery pseudoaneurysm: role of ultrasonography in postpartum hemorrhage management Uterine artery pseudoaneurysm (UAP) rupture should be considered in case of late genital bleeding without obvious cause and lead to perform a sonographic examination with Doppler-scan. We report two cases of late post-partum hemorrhage from UAP diagnosed as such using color Doppler US. In order to avert life-threatening bleeding, prompt and accurate diagnosis should be made using color Doppler (...) US since the latter plays a significant role in demonstrating the vascular nature of this anechoic uterine lesion.

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2016 The Pan African medical journal

73. Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin (PubMed)

Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin Background. Heterotopic pregnancy is a multiple gestation with both intrauterine and ectopic fetuses. A cesarean scar ectopic pregnancy is when the fetus has implanted over the previous hysterotomy site. A known complication of cesarean scar ectopic pregnancy is uterine rupture, which can cause great morbidity and mortality. Case. 28-year-old G5P3105 at 10 weeks with a dichorionic diamniotic (...) gestation was found to have a ruptured uterus with expulsion of a cesarean scar ectopic pregnancy and retention of the intrauterine fetus. After uterine repair, the singleton gestation reached viability was delivered by emergent cesarean section for placental abruption. Conclusion. Safe management of cesarean ectopic pregnancy requires early diagnosis by ultrasonography. With early detection, management can focus on preventing maternal morbidity of uterine rupture and life-threatening hemorrhage.

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2016 Case reports in obstetrics and gynecology

74. Sonographic diagnosis of spontaneous uterine rupture at the site of cornual wedge resection scar – a case report (PubMed)

Sonographic diagnosis of spontaneous uterine rupture at the site of cornual wedge resection scar – a case report Introduction: Uterine rupture and uterine dehiscence during pregnancy are known complications of a scarred uterus. Spontaneous uterine rupture at the site of prior cornual wedge resection has been previously reported in the literature, however remains rare. Discussion: We present a case of uterine rupture at 30 weeks gestation. This woman had previous right sided interstitial (...) pregnancy treated with uncomplicated laparoscopic cornual wedge resection at eight weeks gestation. The index pregnancy occurred eight months after surgery. An emergency ultrasound prompted by non-specific abdominal pain and tenderness at 30 weeks gestation enabled diagnosis of uterine dehiscence. At emergency caesarean section four hours later full thickness wall rupture and haemoperitoneum were found. Surgical intervention resulted in a good outcome for both mother and baby. Conclusion: A brief

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2015 Australasian journal of ultrasound in medicine

75. Can Intrapartum Cardiotocography Predict Uterine Rupture among Women with Prior Caesarean Delivery?: A Population Based Case-Control Study (PubMed)

Can Intrapartum Cardiotocography Predict Uterine Rupture among Women with Prior Caesarean Delivery?: A Population Based Case-Control Study To compare cardiotocographic abnormalities recorded during labour in women with prior caesarean delivery (CD) and complete uterine rupture with those recorded in controls with prior CD without uterine rupture.Women with complete uterine rupture during labour between 1997 and 2008 were identified in the Danish Medical Birth Registry (n = 181). Cases were (...) validated by review of medical records and 53 cases with prior CD, trial of labour, available cardiotocogram (CTG) and complete uterine rupture were included and compared with 43 controls with prior CD, trial of labour and available CTG. The CTG tracings were assessed by 19 independent experts divided into groups of three different experts for each tracing. The assessors were blinded to group, outcome and clinical data. They analyzed occurrence of defined abnormalities and classified the traces

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2016 PloS one

76. Uterine Rupture in a Common Marmoset (Callithrix jacchus) (PubMed)

Uterine Rupture in a Common Marmoset (Callithrix jacchus) A 5-y-old multiparous female common marmoset (Callithrix jacchus) presented with acute weight loss of approximately 25% over a 1-wk period. An abdominal mass was apparent on physical examination, and radiographs suggested peritoneal effusion. Exploratory laparotomy revealed hemoperitoneum and an enlarged, gray, hemorrhaging uterus; ovariohysterectomy was performed, and the marmoset recovered. Histologic evaluation of the ovaries (...) and uterus revealed uterine rupture, with invasion of placental villi lined by trophoblasts through the myometrium to the serosal layer. Primary uterine rupture is a rare but serious obstetric event in humans and has been reported only rarely in NHP. This report is the first description of primary uterine rupture during early pregnancy in a common marmoset.

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2016 Comparative medicine

77. Spontaneous uterine rupture after abdominal myomectomy at the gestational age of 20 weeks in pregnancy: A case report (PubMed)

Spontaneous uterine rupture after abdominal myomectomy at the gestational age of 20 weeks in pregnancy: A case report Uterine rupture in pregnancy is rare and often could be life threatening and catastrophic. Myomectomy is one of very common surgeries in gynecology, performed as the vaginal, abdominal and laparoscopic surgeries. Pregnancies occured after abdominal and laparoscopic myomectomy are high risk for uterine rapture.Patient was a 28 Years old female, pregnant woman at the 20 wks (...) of gestational age with abdominal pain and a history of abdominal myomectomy 6 yrs ago. Uterus was ruptured and fetus in amniotic sac was found in abdominal cavity.Early diagnosis of uterine rupture after myomectomy can save patients from death.

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2016 International Journal of Reproductive Biomedicine

78. Secondary Postpartum Hemorrhage due to Spontaneous Uterine Artery Rupture after Normal Vaginal Delivery Managed by Selective Arterial Embolization (PubMed)

Secondary Postpartum Hemorrhage due to Spontaneous Uterine Artery Rupture after Normal Vaginal Delivery Managed by Selective Arterial Embolization Secondary postpartum hemorrhage due to an intraperitoneal bleed following a vaginal delivery is extremely rare. We present a case of spontaneous rupture of the uterine artery following a normal vaginal delivery with a delayed presentation, which resulted in significant morbidity. This case discusses the presentation and management of this rare

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2016 AJP Reports

79. ShortGUIDE: Term prelabour rupture of membranes (PROM)

, primary postpartum haemorrhage, caesarean section for fetal distress, uterine rupture, epidural analgesia, cord prolapse, stillbirth, Apgar 24 hours o Change in fetal movements o Signs of infection o Change in vaginal loss · Offer information that risk of infection: o Increased with vaginal intercourse o Not affected by showering or bathing · Recommend IOL if: o Woman requests o Concern for maternal or fetal wellbeing Expectant care at home? Recommend expectant care in hospital Indications for active (...) ShortGUIDE: Term prelabour rupture of membranes (PROM) Available from: www.health.qld.gov.au/qcg Effective: December 2018 | Review: December 2023 | Doc No: MN18.47-V1-R23 Queensland Clinical Guidelines short GUIDE Queensland Health Term prelabour rupture of membranes (PROM) IMPORTANT: Consider individual clinical circumstances. Read the full disclaimer at www.health.qld.gov.au/qcg Aspect Considerations Relevant to: · Pregnant women with a live singleton, fetus with cephalic presentation equal

2019 Queensland Health

80. ShortGUIDE: Preterm prelabour rupture of membranes (PPROM)

Guidelines Preterm prelabour rupture of membranes Available from: www.health.qld.gov.au/qcg © State of Queensland (Queensland Health) 2018 Page 2 of 4 Initial management Aspect Considerations Admission and inpatient care · If confirmed PPROM, admit for initial assessment and monitoring as per local protocols · Maintain a high index of suspicion for: o Cord prolapse o Antepartum haemorrhage o Infection—suggested initial monitoring: § Four hourly maternal heart rate, temperature, vaginal loss, uterine (...) criteria of clinical chorioamnionitis in preterm birth. BJOG: An International Journal of Obstetrics & Gynaecology 2017;124(5):775-83. 11. Queensland Clinical Guidelines. Preterm labour and birth. Guideline No. MN14.6-V7-R19. [Internet]. Queensland Health. 2014. [cited 2018 January 15]. Available from: http://www.health.qld.gov.au 12. Laskin MD, Yinon Y, WL. W. Preterm premature rupture of membranes in the presence of cerclage: is the risk for intra-uterine infection and adverse neonatal outcome

2019 Queensland Health

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