Uterine rupture

Uterine rupture

Infobox_Disease
Name = PAGENAME


Caption =
DiseasesDB = 13642
ICD10 = ICD10|O|71|0|o|60-ICD10|O|71|1|o|60
ICD9 = ICD9|665.1
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj = med
eMedicineTopic = 3746
MeshID = D014597

Uterine rupture is a potentially catastrophic event during childbirth by which the integrity of the myometrial wall is breached. In an incomplete rupture the peritoneum is still intact. With a complete rupture the contents of the uterus may spill into the peritoneal cavity or the broad ligament. A uterine rupture is a life-threatening event for mother and baby.

A uterine rupture typically occurs during early labor, but may already develop during late pregnancy. A uterine scar from a previous cesarean section is the most common risk factor. Other forms of uterine surgery that result in full-thickness incisions (such as a myomectomy), dysfunctional labor, labor augmentation by oxytocin or prostaglandins, and high parity may also set the stage for uterine rupture. In 2006, an extremely rare case of uterine rupture in a first pregnancy with no risk factors was reported. [cite journal |author=Walsh CA, O'Sullivan RJ, Foley ME |title=Unexplained prelabor uterine rupture in a term primigravida |journal=Obstetrics and gynecology |volume=108 |issue=3 Pt 2 |pages=725–7 |year=2006 |pmid=17018479 |doi=10.1097/01.AOG.0000195065.38149.11 |doi_brokendate=2008-06-23]

Symptoms of a rupture may be initially quite subtle. An old cesarean scar may undergo dehiscence, but with further labor, the woman may experience abdominal pain and vaginal bleeding. Often a deterioration of the fetal heart rate is a leading sign. Intra-abdominal bleeding, can lead to hypovolemic shock and death.

Emergency exploratory laparotomy with cesarean delivery accompanied by fluid and blood transfusion are indicated for the management of uterine rupture. Depending on the nature of the rupture and the condition of the patient the uterus may be either repaired or needs to be removed (cesarean hysterectomy).

References


Wikimedia Foundation. 2010.

Игры ⚽ Нужно решить контрольную?

Look at other dictionaries:

  • Uterine rupture — A tear of the uterus, an uncommon but very serious situation that may result in hysterectomy, urologic injury, a need for blood transfusion, maternal death, and perinatal complications including neurologic impairment or death of the baby. Causes… …   Medical dictionary

  • Uterine myomectomy — Intervention A laparoscopic myomectomy: The uterus has been incised and the myoma is held and about to be shelled out ICD 9 CM …   Wikipedia

  • Rupture, uterine — A tear of the uterus, an uncommon but very serious situation that may result in hysterectomy, urologic injury to the woman, a need for blood transfusion, maternal death, and perinatal complications including neurologic impairment or death of the… …   Medical dictionary

  • uterine bleeding — Abnormal bleeding from the uterus not related to menstruation. Most common in the first few years after menarche and as menopause approaches, it is thought to occur when malfunctioning ovaries reduce blood estrogen levels. A malfunctioning… …   Universalium

  • Uterine contraction — A uterine contraction is a muscle contraction of the uterine smooth muscle. Contents 1 Throughout menstrual cycle 2 In childbirth 3 In orgasm 4 References …   Wikipedia

  • uterine dehiscence — dehiscence of uterus rupture of the uterus following cesarean section, especially separation of the uterine scar prior to or during a subsequent labor …   Medical dictionary

  • Grossesse extra-utérine — Classification et ressources externes Grossesse extra utérine CIM 10 …   Wikipédia en Français

  • Grossesse Extra-Utérine — La grossesse extra utérine est une grossesse se développant hors de l utérus. La très grande majorité des grossesses extra utérines sont des grossesses dans la trompe de Fallope ou grossesses tubaires. La grossesse extra utérine est une urgence… …   Wikipédia en Français

  • Grossesse extra-uterine — Grossesse extra utérine La grossesse extra utérine est une grossesse se développant hors de l utérus. La très grande majorité des grossesses extra utérines sont des grossesses dans la trompe de Fallope ou grossesses tubaires. La grossesse extra… …   Wikipédia en Français

  • Grossesse extra utérine — La grossesse extra utérine est une grossesse se développant hors de l utérus. La très grande majorité des grossesses extra utérines sont des grossesses dans la trompe de Fallope ou grossesses tubaires. La grossesse extra utérine est une urgence… …   Wikipédia en Français

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”