Prenatal sonographic diagnosis of uterine rupture following open fetal surgery.
Publication/Presentation Date
5-1-1999
Abstract
BACKGROUND: Reported cases of uterine rupture diagnosed by ultrasound have shown fetal membranes ballooning through uterine rupture sites, or adjacent areas of hemorrhage.
CASE: A 27-year-old gravida 3, para 2 had open fetal surgery to repair a fetal myelomeningocele at 28 weeks' gestation. Her postoperative course was complicated by threatened preterm labor and anhydramnios. At 33 weeks' gestation, with maternal symptoms of bowel obstruction, ultrasound showed a fetal leg and section of umbilical cord protruding through the uterine wall.
CONCLUSION: Even in the presence of anhydramnios, uterine wall rupture was identified, because ultrasound evaluation of the uterine wall showed prolapsed fetal parts and umbilical cord. Persistent anhydramnios after open fetal surgery should prompt a search for uterine rupture.
Volume
93
Issue
5 Pt 2
First Page
826
Last Page
827
ISSN
0029-7844
Published In/Presented At
Ranzini, A. C., White, M., Guzman, E. R., & Scorza, W. E. (1999). Prenatal sonographic diagnosis of uterine rupture following open fetal surgery. Obstetrics and gynecology, 93(5 Pt 2), 826–827. https://doi.org/10.1016/s0029-7844(98)00423-2
Disciplines
Medicine and Health Sciences
PubMedID
10912409
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article