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Archives of Gynecology and Obstetrics

, Volume 281, Issue 6, pp 999–1001 | Cite as

Spontaneous rupture of unscarred uterus at 27 weeks of gestation

  • Isil UzunEmail author
  • Alkan Yıldırım
  • Ibrahim Kalelioglu
  • Recep Has
Materno-fetal Medicine

Introduction

Spontaneous rupture of a gravid uterus is a life-threatening obstetric emergency with high maternal mortality and morbidity, perinatal mortality and loss of future fertility as hysterectomy maybe inevitable in most cases. Most spontaneous uterine ruptures occur during labor in parturients with a scarred uterus. Rupture of unscarred uterus is a rare event involving 1/17,000–20,0000 and occur more frequently in older multiparous patients [1, 2, 3]. Here, we present a case of spontaneous rupture of uterus in a primigravid woman which was successfully repaired.

Case report

History

A 32-year-old primigravid woman was admitted with abdominal pain that began 6 h earlier and premature uterine contractions at 27 weeks of gestation. She had no significant past medical history and any risk factor for uterine rupture.

Examination

The cervix was 1 cm dilated and 30% effaced. Non-stress test showed 140–150 bpm heart rate with no decelerations and a contracting uterus at a rate of...

Keywords

Endometriosis Uterine Contraction Spontaneous Rupture Uterine Rupture Primigravid Woman 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Coflict of interest statement

None.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Isil Uzun
    • 1
    Email author
  • Alkan Yıldırım
    • 1
  • Ibrahim Kalelioglu
    • 1
  • Recep Has
    • 1
  1. 1.Obstetrics and Gynecology Department, Istanbul Medical FacultyIstanbul UniversityIstanbulTurkey

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