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Spontaneous complete uterine rupture with protrusion of foetal limbs at the third trimester following laparoscopic cornuostomy: A case report
Authors:Jianyang Feng  Yahui Kang  Guixian Chen  Yaoyue Zhang  Yuan Li  Yi Li  Hong He
Affiliation:aDepartment of Obstectrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China;bDepartment of Gynecology, Gansu Provincial Maternity and Child-Care Hospital, Lanzhou City, Gansu, China;cDepartment of Gynecology and Obstetrics, The People''s Hospital of Nanchuan, Chongqing City, China;dDepartment of Gynecology, Fengcheng Maternity and Child-Care Hospital, Yichun City, Jiangxi, China.
Abstract:
Rationale:Spontaneous complete uterine rupture during gestation is rare and has no specific symptoms; however, it is a life-threatening event for both the fetus and mother. The rupture typically happens in labor and is uncommon before labor. Herein, we present the case of a woman, encountering complete rupture at third trimester followed by laparoscopic cornuostomy.Patient concerns:A 26-year-old woman presented with acute right lower abdominal pain at 33 weeks and 5 days of gestation.Diagnoses:We made a diagnosis of threatened uterine rupture.Intervention:Urgent cesarean section performed. Exploration of the uterine dehiscence wound demonstrated that the myometrium was completely ruptured at the primary laparoscopic surgical scar with a defect of 40 mm, and live birth and preservation of the uterus was achieved.Outcome:On the third day of operation, she had a good recovery and was discharged. After a 6-week postpartum follow-up, she displayed a good level of rehabilitation.Lessons:Pregnancy after laparoscopic cornuostomy should be treated as high-risk gestation and the rupture during gestation of the uterine scar should be suspected once lower abdominal pain occurred. Swift diagnosis and prompt intervention play a crucial role in saving the lives of the fetus and the mother.
Keywords:laparoscopic cornuostomy   spontaneous uterine rupture   third trimester
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