Abstract

BALLESTEROS-TRILLOS, Juan Pablo  and  ALMEIDA-ARGUELLO, Nathalia Andrea. Case review: uterine rupture during labor, in uterus without previous scar. Medicas UIS [online]. 2021, vol.34, n.1, pp.107-112.  Epub Apr 01, 2021. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v34n1-2021011.

Uterine rupture is a rare obstetric complication with high maternal and infant morbidity and mortality. Early diagnosis and immediate treatment are important prognostic factors for both mother and fetus. The study presents the case of a multigravida patient, with high risk for compensated gestational diabetes, and uncontrolled protein S deficiency. The patient, who was full-term and had adequate prenatal control, was admitted hemodynamically stable, with initial cervical changes, fetus in longitudinal presentation, andcephalic with monitoring category ACOG 1. The patient spontaneous uterine rupture, which leads to maternal hemoperitoneum and acute fetal distress. Cesarean section and hysterectomy were performed as emergency surgical treatments due to uterine atony without bleeding control with pharmacological maneuvers. This case is great significance due to the lack of risk factors and the atypical clinical presentation, evidenced in the signs and symptoms and the rupture’s location. MÉD.UIS.2021;34(1): 107-12.

Keywords : Uterine ruptura; Labor; Fetal Distress; Uterine bleeding; Hysterectomy.

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