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Silent uterine rupture, an unusual cause of anhydramnios
Authors:Teunissen Katinka K  Lopriore Enrico  Nijman Remco G W  Brouwer Patrick A  van Kamp Inge L
Affiliation:1 Department of Obstetrics, Fetal Medicine Unit, Leiden University Medical Center, Leiden, The Netherlands
2 Department of Neonatology, Leiden University Medical Center, Leiden, The Netherlands
3 Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
4 Department of Obstetrics and Gynecology, Groene Hart Hospital, Gouda, The Netherlands
Abstract:Anhydramnios is a rather common ultrasound finding, usually caused by ruptured membranes, placental dysfunction, or impaired fetal renal function. We present a case of anhydramnios, resulting from the perforation of a fetal leg through the uterine wall. Neonatal death occurred caused by severe lung hypoplasia. The absence of clinical symptoms strongly suggests a preexisting weak spot in the uterine wall, presumably resulting from an unrecognized perforation at a previous curettage procedure.
Keywords:anhydramnios   curettage   pulmonary hypoplasia   uterine rupture
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