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Vivanti AJ, Nhung NTH, Ha CTT, Cong NH, Bac DV, de Thorey AG, Benachi A, Deffieux X, Le DTH. Successful conservative management of a spontaneous hemorrhagic uterine rupture at 18 weeks of gestation. J Gynecol Obstet Hum Reprod 2022; 51:102396. [PMID: 35489714 DOI: 10.1016/j.jogoh.2022.102396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 03/19/2022] [Accepted: 04/13/2022] [Indexed: 10/18/2022]
Abstract
Prelabor uterine rupture is a very rare complication of pregnancy that in most cases occurs when there is a history of uterine surgery. Maternal and neonatal morbidity is significant. Most often, the pregnancy must be terminated to rescue both the mother and the newborn, if possible. We report the case of a patient who had a pre-labor uterine rupture at 18 weeks of gestation (WG) complicated by massive hemoperitoneum. Emergency surgery with conservative management allowed the pregnancy to continue until 32+3 WG. In very rare situations of uterine rupture at a very early term, conservative management appears to be an acceptable solution to allow the pregnancy to continue until a sufficient gestational age to limit complications related to prematurity.
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Affiliation(s)
- Alexandre J Vivanti
- Department of Obstetrics and Gynecology, DMU Santé des Femmes et des Nouveau-nés Antoine Béclère Hospital, Université Paris Saclay, AP-HP, Clamart, France.
| | | | - Cao Thi Thuy Ha
- Department of Obstetrics and Gynecology, Tam Anh Hospital, Hanoi City, Viet Nam
| | - Nguyen Huu Cong
- Department of Obstetrics and Gynecology, Tam Anh Hospital, Hanoi City, Viet Nam
| | - Duong Viet Bac
- Department of Obstetrics and Gynecology, Tam Anh Hospital, Hanoi City, Viet Nam
| | - Axelle Gillet de Thorey
- Department of Obstetrics and Gynecology, DMU Santé des Femmes et des Nouveau-nés Antoine Béclère Hospital, Université Paris Saclay, AP-HP, Clamart, France
| | - Alexandra Benachi
- Department of Obstetrics and Gynecology, DMU Santé des Femmes et des Nouveau-nés Antoine Béclère Hospital, Université Paris Saclay, AP-HP, Clamart, France
| | - Xavier Deffieux
- Department of Obstetrics and Gynecology, DMU Santé des Femmes et des Nouveau-nés Antoine Béclère Hospital, Université Paris Saclay, AP-HP, Clamart, France
| | - Dinh Thi Hien Le
- Department of Obstetrics and Gynecology, Tam Anh Hospital, Hanoi City, Viet Nam
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