Primary repair of cornual rupture occurring at 21 weeks gestation and successful pregnancy outcome. |
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Authors: | P H Wang H T Chao L L Too C C Yuan |
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Institution: | Department of Obstetrics and Gynecology, Veterans General Hospital-Taipei and National Yang-Ming University, 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan. |
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Abstract: | The successful delivery in a 31 year old woman at 33 weeks gestation is reported, after repair to a cornual rupture which occurred at 21 weeks gestation. The patient exhibited acute abdominal pain and pending shock. Emergency laparotomy showed a cornual rupture and an intrauterine vital fetus having intact amnion membrane. On the patient's family's insistence, primary repair for a cornual rupture was performed and preservation of the fetus attempted. Postoperatively, tocolytic agent with ritodrine hydrochloride was administered and close follow-up of the patient was uneventful. The patient had a smooth obstetric course until 33 weeks gestation when premature rupture of the membranes occurred, soon followed by the onset of labour. She underwent an elective Caesarean section and delivered a normal male fetus weighing 2140 g with Apgar scores at 1, 5 and 10 min of 6, 8, and 9 respectively. Because of this successful outcome, we suggest that primary repair for such an unusual patient should be accepted. |
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Keywords: | cornual rupture/pregnant/primary repair |
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