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

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

doi:2012.55.3.183

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(3):183-186.
DOI: https://doi.org/10.5468/KJOG.2012.55.3.183 Published online March 1, 2012.

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

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

Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, University of Soonchunhyang College of Medicine, Cheonan, Korea. drsook@schmc.ac.kr

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.

Key Words: Uterine rupture, Cornual resection, Preterm labor