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Uterine Rupture

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61. Successful management of the recurrent uterine rupture after the uterine septum resection Full Text available with Trip Pro

Successful management of the recurrent uterine rupture after the uterine septum resection 29629313 2019 02 26 2214-9112 8 2015 Oct Case reports in women's health Case Rep Womens Health Successful management of the recurrent uterine rupture after the uterine septum resection. 13-16 10.1016/j.crwh.2015.10.001 Kasapoglu Taner T Department of Obstetrics and Gynecology, Hacettepe University, Faculty of Medicine, Turkey. Kasapoglu Dila D Department of Obstetrics and Gynecology, Hacettepe University (...) , Faculty of Medicine, Turkey. Deren Ozgur O Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, Hacettepe University, Faculty of Medicine, Turkey. eng Case Reports 2015 10 23 Netherlands Case Rep Womens Health 101682122 2214-9112 Uterine septum is associated with an increased rate of recurrent miscarriages which can be reduced significantly by performing endoscopic resection. Perinatal outcome improvement due to resection is favorable but still remains controversial. Uterine rupture

2015 Case Reports in Women's Health

62. Hysteroscopic metroplasty of a uterine septum for primary infertility

) of women in a case series of 170 women; this was managed by laparoscopic bipolar coagulation and both patients were discharged the same day. One of these women subsequently had a pregnancy that carried to term, with delivery by caesarean section. 5.2 Uterine rupture during pregnancy or delivery was identified in 18 confirmed reports in the review of 2528 women; in 10 of the 18 cases, uterine perforation had occurred at the time of the hysteroscopic metroplasty. 5.3 Intraoperative bleeding (...) Hysteroscopic metroplasty of a uterine septum for primary infertility Hysteroscopic metroplasty of a uterine septum Hysteroscopic metroplasty of a uterine septum for primary infertility for primary infertility Interventional procedures guidance Published: 23 January 2015 nice.org.uk/guidance/ipg509 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare

2015 National Institute for Health and Clinical Excellence - Interventional Procedures

63. Flowchart: Induction of labour, Artificial rupture of membranes (PDF, 106kB)

FHR o Uterine activity o Vaginal loss (liquor amount, colour consistency) • If oxytocin commenced, monitor as for oxytocin • If oxytocin not commenced and observations normal and no contractions, then ongoing monitoring as for latent first stage • If FHR or liquor abnormalities discuss/refer/consult • Encourage mobilisation to promote onset of uterine contractions Yes Yes No No Recommend immediate commencement of oxytocin Clinical concerns identified? ARM Artificial rupture of membranes; CTG (...) Flowchart: Induction of labour, Artificial rupture of membranes (PDF, 106kB) Queensland Health State of Queensland (Queensland Health) 2017 http://creativecommons.org/licenses/by-nc-nd/3.0/au/deed.en Queensland Clinical Guidelines, guidelines@health.qld.gov.au Queensland Clinical Guidelines www.health.qld.gov.au/qcg Artificial rupture of membranes Queensland Clinical Guideline: Induction of labour Flowchart version F17.22-4-V5-R22 Indications • After cervical ripening method • Favourable cervix

2017 Queensland Health

64. Management of Uterine Fibroids

Management of Uterine Fibroids Comparative Effectiveness Review Number 195 Management of Uterine Fibroids eComparative Effectiveness Review Number 195 Management of Uterine Fibroids Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00003-I Prepared by: Vanderbilt Evidence-based Practice Center Nashville, TN Investigators: Katherine E. Hartmann, M.D., Ph.D. Christopher (...) Fonnesbeck, Ph.D. Tanya Surawicz, M.P.H. Shanthi Krishnaswami, M.B.B.S., M.P.H. Jeffrey C. Andrews, M.D. Jo Ellen Wilson, M.D., M.P.H. Digna Velez-Edwards, Ph.D., M.S. Shannon Kugley, M.L.I.S. Nila A. Sathe, M.A., M.L.I.S. AHRQ Publication No. 17(18)-EHC028-EF December 2017 Key Messages Purpose of Review To review treatment effectiveness and the risk of leiomyosarcoma (LMS) in women with fibroids. Key Messages • Gonadotropin-releasing hormone (GnRH) agonists, mifepristone, ulipristal, and uterine artery

2017 Effective Health Care Program (AHRQ)

65. Tiny Tips: Approach to Abnormal Uterine Bleeding

Tiny Tips: Approach to Abnormal Uterine Bleeding Tiny Tips: Approach to Abnormal Uterine Bleeding - CanadiEM Tiny Tips: Approach to Abnormal Uterine Bleeding In , by Zoe Polsky July 14, 2017 Whether the patient is an expecting mother, a post-menopausal woman, or a young adolescent, abnormal uterine bleeding is distressing for the patient, and often overwhelming for learners. Consider the ‘ CAUSES OF bLOOD ’ to better tailor your investigations and management. C ancer A bruption U rogenital (...) infections (PID, endometritis, salpingitis) S evere menorrhagia E ctopic pregnancy S pontaneous abortion O varian cyst rupture F ibroid (Leiomyoma) b … L ocation of placenta- placenta previa O varian torsion O nset after delivery – Post-Partum Hemorrhage D rugs – anticoagulants, antipsychotics, corticosteroids, hormone replacement This post was copyedited by Dat Nguyen-Dinh (@dat_nd). Reviewing with the Staff The above mnemonic provides a reasonable, but not comprehensive, differential for abnormal

2017 CandiEM

66. Risk Factors for Complete Uterine Rupture. Full Text available with Trip Pro

Risk Factors for Complete Uterine Rupture. Complete uterine rupture is a rare peripartum complication associated with a catastrophic outcome. Because of its rarity, knowledge about its risk factors is not very accurate. Most previous studies were small and over a limited time interval. Moreover, international diagnostic coding was used in most studies. These codes are not able to differentiate between the catastrophic complete type and less catastrophic partial type. Complete uterine rupture (...) is expected to increase as the rate of cesarean delivery increases. Thus, we need more accurate knowledge about the risk factors for this complication.The objective of the study was to estimate the incidence and risk factors for complete uterine rupture during childbirth in Norway.This population-based study included women that gave birth after starting labor in 1967-2008. Data were from the Medical Birth Registry of Norway and Patient Administration System, complemented with information from medical

2016 American Journal of Obstetrics and Gynecology

67. Uterine Rupture in a Common Marmoset (Callithrix jacchus) Full Text available with Trip Pro

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.

2016 Comparative medicine

68. Spontaneous uterine rupture after abdominal myomectomy at the gestational age of 20 weeks in pregnancy: A case report Full Text available with Trip Pro

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.

2016 International Journal of Reproductive Biomedicine

69. Massive Maternal Haemorrhage: A Rare Case of Ruptured Uterine Varix Full Text available with Trip Pro

Massive Maternal Haemorrhage: A Rare Case of Ruptured Uterine Varix Haemoperitoneum anytime during pregnancy is a rare but catastrophic event. With advancement in antenatal and intrapartum care, the maternal survival has improved manyfold. Management involves immediate resuscitation with volume correction followed by surgery, mostly laparotomy. This case is of a booked primigravida, with otherwise uneventful pregnancy, who suffered a massive haemoperitoneum. On laparotomy, the only cause found (...) was a small uterine varix on the posterior uterine surface. The patient survived after multiple transfusions, but it led to a fresh stillborn baby. Immediate action is the only answer to improving maternal and foetal survival.

2016 Journal of obstetrics and gynaecology of India

70. Placenta Percreta and Incomplete Uterine Rupture after Endometrial Ablation and Tubal Occlusion Full Text available with Trip Pro

Placenta Percreta and Incomplete Uterine Rupture after Endometrial Ablation and Tubal Occlusion Endometrial ablation offers symptomatic relief for menorrhagia. Pregnancy after ablation is rare but is often complicated due to pregnancy loss, growth restriction, preterm premature rupture of membranes, preterm delivery, and morbidly adherent placentation, a dangerous complication that can result in hemorrhage, intensive care unit admission, and cesarean hysterectomy. We report a case of pregnancy (...) conceived contemporaneously with endometrial ablation and tubal occlusion. Diagnosis of pregnancy was delayed due to low suspicion. Complications included cervical implantation and placenta percreta, necessitating hysterectomy with the fetus in situ. Intraoperatively, incomplete uterine rupture was noted. Abnormal neovascularization, fibrous adhesions, and anatomical distortion necessitated a complex surgical approach. Women undergoing endometrial ablation must be thoroughly counseled about the serious

2016 AJP Reports

71. CT diagnosis and endovascular management of spontaneous rupture of uterine artery in pregnancy Full Text available with Trip Pro

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.

2016 BJR | case reports

72. Rupture of uterine artery pseudoaneurysm: role of ultrasonography in postpartum hemorrhage management Full Text available with Trip Pro

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.

2016 The Pan African medical journal

73. Spontaneous Rupture of Uterine Artery in a 14-Week Pregnant Woman Full Text available with Trip Pro

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

2016 Case reports in obstetrics and gynecology

74. Uterine rupture in pregnancies following myomectomy: A multicenter case series Full Text available with Trip Pro

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

2016 Obstetrics & gynecology science

75. A case of spontaneous hemoperitoneum by uterine vessel rupture in pregnancy Full Text available with Trip Pro

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

2016 Obstetrics & gynecology science

76. Spontaneous Uterine Rupture in a Preterm Pregnancy following Myomectomy Full Text available with Trip Pro

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.

2016 Case reports in obstetrics and gynecology

77. Can Intrapartum Cardiotocography Predict Uterine Rupture among Women with Prior Caesarean Delivery?: A Population Based Case-Control Study Full Text available with Trip Pro

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

2016 PloS one

78. Uterine Artery Rupture After Induced Abortion and Extraction of an Intrauterine Device Full Text available with Trip Pro

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

2016 Chinese medical journal

79. 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 Full Text available with Trip Pro

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

2016 The Pan African medical journal

80. Secondary Postpartum Hemorrhage due to Spontaneous Uterine Artery Rupture after Normal Vaginal Delivery Managed by Selective Arterial Embolization Full Text available with Trip Pro

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

2016 AJP Reports

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