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Rupture of intrapartum unscarred uterus at the fundus: a complication of passive cocaine abuse?

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Abstract

Uterine rupture is a potential obstetric catastrophe. We report a case of a gravida 2 para 1 with intrapartum unscarred uterine fundal rupture. Immediate resuscitation, laparotomy and hysterectomy, was done with maternal survival. History of passive cocaine smoke exposure elicited postoperatively was the possible etiology leading to complete fundal rupture. This case is an eye opener as regards to ill effects of drug abuse even though passive. A careful history of drug abuse must be elicited when the common causes of uterine rupture have been excluded or the rupture site is unusual.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, UCMS and GTB Hospital, Shahdara, Delhi, 110095, India

    Rachna Agarwal, Bindiya Gupta & Geeta Radhakrishnan

  2. A-3 Narinder Mohan Hospital Campus, Mohan Nagar, Ghaziabad, 201007, India

    Bindiya Gupta

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  1. Rachna Agarwal
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  2. Bindiya Gupta
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  3. Geeta Radhakrishnan
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Correspondence to Bindiya Gupta.

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Agarwal, R., Gupta, B. & Radhakrishnan, G. Rupture of intrapartum unscarred uterus at the fundus: a complication of passive cocaine abuse?. Arch Gynecol Obstet 283 (Suppl 1), 53–54 (2011). https://doi.org/10.1007/s00404-011-1853-6

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  • DOI: https://doi.org/10.1007/s00404-011-1853-6

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