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Clinical and Experimental Obstetrics & Gynecology  2014, Vol. 41 Issue (5): 597-598    DOI: 10.12891/ceog17612014
Case Report Previous articles | Next articles
Asymptomatic spontaneous complete uterine rupture in a term pregnancy after uterine packing during previous caesarean section: a case report
J. Zhang1, S.F. Chen1, Y.E. Luo1, *()
1Department of Obstetrics and Gynaecology, International Peace Maternity and Child Health Hospital / School of Medicine, Shanghai Jiaotong University, Shanghai (People’s Republic of China)
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Abstract  
Uterine rupture is a life-threatening obstetrical complication with significant neonatal and maternal morbidity. The authors report a 36-year-old woman with a history of previous caesarean section because of pre-eclampsia and antepartum haemorrhage at 31 gestational weeks during her first pregnancy. Postpartum haemorrhage occurred and the uterine cavity was packed with gauze for reducing blood loss. After two years, she underwent elective, repeat caesarean section at 38+1 gestational weeks with no abdominal pain or vaginal bleeding. During the operation, a six- to seven-cm-long defect was found in the lower uterine segment, with complete separation of the uterine scar and disruption of the visceral peritoneum. A live baby was delivered. The postoperative course was uneventful. Uterine dehiscence and rupture should be suspected in the presence of risk factors such as previous caesarean section, especially uterine packing involved. Spontaneous silent rupture can occur in women without any alarming symptoms.
Key words:  Uterine rupture      Pregnancy      Caesarean section     
Published:  10 October 2014     
*Corresponding Author(s):  Y.E. LUO     E-mail:  ipmch_article@hotmail.com

Cite this article: 

J. Zhang, S.F. Chen, Y.E. Luo. Asymptomatic spontaneous complete uterine rupture in a term pregnancy after uterine packing during previous caesarean section: a case report. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(5): 597-598.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog17612014     OR     https://ceog.imrpress.com/EN/Y2014/V41/I5/597

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