tailieunhanh - báo cáo khoa học: " Thin anterior uterine wall with incomplete uterine rupture in a primigravida detected by palpation and ultrasound: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Thin anterior uterine wall with incomplete uterine rupture in a primigravida detected by palpation and ultrasound: a case report | Matsubara et al. Journal of Medical Case Reports 2011 5 14 http content 5 1 14 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Thin anterior uterine wall with incomplete uterine rupture in a primigravida detected by palpation and ultrasound a case report Shigeki Matsubara Kazuhiko Shimada Tomoyuki Kuwata Rie Usui Mitsuaki Suzuki Abstract Introduction Uterine rupture is an obstetric complication associated with significant maternal and fetal morbidity and mortality. This disorder usually occurs with a scarred uterus especially in a uterus with prior Cesarean section. Uterine sacculation or diverticulum may also lead to a thin uterine wall during pregnancy. Case presentation A 27-year-old Japanese primigravid woman was admitted to our hospital due to weak irregular uterine contractions in her 38th week of gestation. She had no past history of uterine surgery or known diseases. A hard mass was palpable in her abdomen. An ultrasound revealed that the anterior uterine wall was thin and bulging with a fetal minor part beneath it which corresponded to the palpated mass. A Cesarean section was performed which revealed a thin anterior uterine wall with incomplete uterine rupture. The woman and baby were healthy. Conclusions Although extremely rare an unscarred primigravid uterus can undergo incomplete rupture even without discernable risk factors or labor pains. Abdominal palpation and ultrasound may be useful in detecting this condition. Introduction Uterine rupture is an obstetric complication associated with significant maternal and fetal morbidity and mortality. This disorder usually occurs in a scarred uterus especially secondary to prior Cesarean section and is therefore considered a disease of multigravida 1 2 . A few reports have indicated that a uterine rupture can occur in primigravida although this is extremely rare 2 3 with etiological or risk factors including a history of uterine surgery labor augmentation or underlying .