Spontaneous Rupture of a Non-scarring Gravid Uterus: A Late and Haphazard Diagnosis in the Postpartum Period

This paper reports the case of a spontaneous rupture of a non-scarring gravid uterus seen four days after vaginal delivery and provides an update on this rare pathology, which can be functionally and vitally life-threatening. Uterine rupture of a healthy gravid uterus can occur as a result of struct...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e66368
Main Authors: Bigi, Soufiane, Salek, Mounir, Baba, Mohamed Amine, Kharbach, Ahmed, Wakrim, Soukaina
Format: Article
Language:English
Subjects:
Abdomen
Anemia
Blood clots
Case studies
Creatinine
Hemodynamics
Hysterectomy
Laparotomy
Medical diagnosis
Medical imaging
Neutrophils
Obstetrics
Pelvis
Postpartum period
Public health
Ultrasonic imaging
Uterus
Womens health
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Summary:This paper reports the case of a spontaneous rupture of a non-scarring gravid uterus seen four days after vaginal delivery and provides an update on this rare pathology, which can be functionally and vitally life-threatening. Uterine rupture of a healthy gravid uterus can occur as a result of structural abnormalities of the uterine tissue framework or uterine parietal fragility due to pathological phenomena such as septic states. On admission, the clinical picture is generally that of an acute abdomen with a hypogastric origin, with or without hemodynamic instability and an altered general condition, depending on the presence of an underlying advanced uterine infection. Medical imaging, mainly ultrasound and CT scan with iodine contrast, enables visualization of the uterine breach and a precise assessment of the damage. Surgery is the treatment of choice for repairing the breach and ensuring hemostasis. This case study sheds light on this pathology, familiarizing us with its clinical and radiological picture, as well as its post-treatment prognosis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.66368