A Case Report and Literature Review of Spontaneous Uterine Rupture in Mid-Pregnancy in a Non-Scarred Uterus
DOI: 10.23977/medsc.2024.050414 | Downloads: 7 | Views: 168
Author(s)
Xinru Yang 1, Xinjin Luo 2, Yongpai Peng 1
Affiliation(s)
1 Shenshan Medical Center, Memorial Hospital of Sun Yat-Sen University, Shanwei, China
2 Pengpai Commemorate Hospital, Shanwei, China
Corresponding Author
Xinru YangABSTRACT
To report a rare case of spontaneous uterine rupture in mid-pregnancy in a non-scarred uterus and to review the literature to explore its etiology, diagnosis, treatment, and prognosis for clinical reference, a retrospective analysis of a case of spontaneous uterine rupture in mid-pregnancy was conducted, documenting the patient’s clinical presentation, diagnostic process, surgical treatment, and postoperative recovery. Relevant literature was systematically reviewed to summarize the mechanisms, diagnostic methods, treatment strategies, and prognosis of spontaneous uterine rupture in non-scarred uteri. The case involved a mid-pregnancy female who experienced spontaneous uterine rupture without significant trauma or history of cesarean section. The patient presented with abdominal pain, vaginal bleeding, and symptoms of shock. Ultrasound and MRI confirmed the diagnosis, and emergency exploratory laparotomy and repair were performed. The patient recovered well postoperatively with no significant complications. Literature review indicates that spontaneous uterine rupture in non-scarred uteri, though rare, may be associated with uterine structural abnormalities, excessive stretching during pregnancy, and abnormal placental implantation. Early diagnosis and prompt surgical intervention are crucial for improving prognosis. Spontaneous uterine rupture in mid-pregnancy in a non-scarred uterus is a rare and severe obstetric emergency. Early detection and timely treatment are essential to reduce maternal and fetal complications. This study provides valuable insights into the diagnosis and management of this rare condition, emphasizing the importance of comprehensive prenatal screening and early intervention. Further research is needed to understand its mechanisms and optimize treatment strategies to enhance clinical alertness and management.
KEYWORDS
Case report, Hysteroscopy, Second-trimester, Uterine ruptureCITE THIS PAPER
Xinru Yang, Xinjin Luo, Yongpai Peng, A Case Report and Literature Review of Spontaneous Uterine Rupture in Mid-Pregnancy in a Non-Scarred Uterus. MEDS Clinical Medicine (2024) Vol. 5: 106-110. DOI: http://dx.doi.org/10.23977/medsc.2024.050414.
REFERENCES
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[3] Davis, A.A. "A womb like a broken heart." BMJ Case Reports, 2018: bcr2017222075.
[4] Niu, Xiaocen, et al. "Single-Center Insights into Cesarean Scar Pregnancy: Treatment Strategies and Determinants." Clinical and Experimental Obstetrics & Gynecology 51.6 (2024): 137.
[5] Sun, Qing, Le Tang, and Dan Zhang. "Molecular mechanisms of uterine incision healing and scar formation." European Journal of Medical Research 28.1 (2023): 496.
[6] Dwivedi, S. and Kumar, A. "Uterine Rupture: A Retrospective Analysis of Referral Cases at a Tertiary Care Centre in Kanpur City." International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2015: 1148-1152.
[7] Dan Z, Lin L, Lijun Z. Clinical analysis of 9 cases of complete uterine rupture during pregnancy[J]. Journal of Dalian Medical University, 2017, 39(4): 370-373.
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