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Open Access 01-12-2021 | Laparotomy | Letter to the Editor

Dissection of the uterine wall in a scarred uterus: a case report

Authors: Sanne J. M. Zilver, Wouter Wegdam, Angelo B. Hooker

Published in: Gynecological Surgery | Issue 1/2021

Abstract

Uterine rupture is a potentially fatal complication during pregnancy, delivery, or postpartum. Women attempting a trial of labor after a cesarean section have an increased risk of a subsequent rupture. We report a case of a 24-year-old woman, gravida 2 para 1 with a previous cesarean section who underwent a trial of labor. During labor she complained of pain while labor progressed rapidly. Because of signs of fetal distress, a vacuum extraction was performed. Two hours after delivery, the patient complained again of severe abdominal pain. Blood accumulated in a previously non-existent area between the serosa and uterine muscle. A dissection of the uterine wall occurred with serious clinical consequences, compatible with a complete uterine rupture. Emergency laparotomy was performed to repair the uterine wall; a hysterectomy was prevented.

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Title: Dissection of the uterine wall in a scarred uterus: a case report
Authors: Sanne J. M. Zilver
Wouter Wegdam
Angelo B. Hooker
Publication date: 01-12-2021
Publisher: Springer Berlin Heidelberg
Keywords: Laparotomy
Laparoscopy
Laparotomy
Sectio Ceasarea
Hysterectomy
Sectio Caesarea
Published in: Gynecological Surgery / Issue 1/2021
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI: https://doi.org/10.1186/s10397-021-01083-w

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Dissection of the uterine wall in a scarred uterus: a case report

Abstract

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Abstract

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