Conservative management of complete fetal expulsion into the
abdominal cavity after silent uterine rupture - case report

J 2023

Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report

HRUBAN, Lukáš; Anna JOUZOVÁ; Petr JANKŮ; Vít WEINBERGER; Dagmar SEIDLOVÁ et al.

Základní údaje

Originální název

Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report

Autoři

HRUBAN, Lukáš ; Anna JOUZOVÁ; Petr JANKŮ ; Vít WEINBERGER; Dagmar SEIDLOVÁ; Tomáš JUREN; Jan ŠENKYŘÍK; Jana KADLECOVÁ; Jitka HAUSNEROVÁ a Eva JANDÁKOVÁ

Vydání

BMC Pregnancy and Childbirth, London, BMC, 2023, 1471-2393

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.800

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/23:00131857

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Silent uterine rupture; Abdominal pregnancy; Fetal expulsion; Uterine scar

Štítky

14110216, 14110230, 14110233, 14110240, 14110611, rivok

Změněno: 15. 3. 2024 10:21, Mgr. Tereza Miškechová

Anotace

V originále

Background Clinically silent uterine rupture with complete fetal expulsion into the abdominal cavity is an extremely rare complication. Diagnosis can be difficult and the risk to the mother and fetus is high. Conservative management has been described only in a few cases of partial expulsion of the fetus so far. Case presentation We present a case of 43-year-old tercigravida with a history of previous laparotomic myomectomy and subsequent cesarean section. The subsequent pregnancy was complicated by uterine wall loosening and rupture at the site of the previous uterine scar after myomectomy and complete fetal expulsion into the abdominal cavity. The diagnosis was made at 24 + 6 weeks of gestation. Considering the absence of clinical symptomatology and the good condition of the fetus, a conservative approach was chosen with intensive monitoring of the maternal and fetal conditions. The pregnancy ended by elective cesarean section and hysterectomy at 28 + 0 weeks of gestation. The postpartum course was uneventful and the newborn was discharged to home care 63 days after delivery. Conclusions Fetal expulsion into the abdominal cavity after silent uterine rupture of the scarred uterus may be accompanied by minimal symptomatology making early diagnosis difficult. This rare complication must be considered in the differential diagnosis in women after major uterine surgery. In selected cases and under conditions of intensive maternal and fetal monitoring, conservative management may be chosen to reduce the risks associated with prematurity.

Citovat

HRUBAN, Lukáš; Anna JOUZOVÁ; Petr JANKŮ; Vít WEINBERGER; Dagmar SEIDLOVÁ; Tomáš JUREN; Jan ŠENKYŘÍK; Jana KADLECOVÁ; Jitka HAUSNEROVÁ a Eva JANDÁKOVÁ. Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report. BMC Pregnancy and Childbirth. London: BMC, 2023, roč. 23, č. 1, s. 1-6. ISSN 1471-2393. Dostupné z: https://doi.org/10.1186/s12884-023-05812-1.

@article{2322618,
   author = {Hruban, Lukáš and Jouzová, Anna and Janků, Petr and Weinberger, Vít and Seidlová, Dagmar and Juren, Tomáš and Šenkyřík, Jan and Kadlecová, Jana and Hausnerová, Jitka and Jandáková, Eva},
   article_location = {London},
   article_number = {1},
   doi = {https://doi.org/10.1186/s12884-023-05812-1},
   keywords = {Silent uterine rupture; Abdominal pregnancy; Fetal expulsion; Uterine scar},
   language = {eng},
   issn = {1471-2393},
   journal = {BMC Pregnancy and Childbirth},
   title = {Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report},
   url = {https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05812-1},
   volume = {23},
   year = {2023}
}

TY  - JOUR
ID  - 2322618
AU  - Hruban, Lukáš - Jouzová, Anna - Janků, Petr - Weinberger, Vít - Seidlová, Dagmar - Juren, Tomáš - Šenkyřík, Jan - Kadlecová, Jana - Hausnerová, Jitka - Jandáková, Eva
PY  - 2023
TI  - Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report
JF  - BMC Pregnancy and Childbirth
VL  - 23
IS  - 1
SP  - 1-6
EP  - 1-6
PB  - BMC
SN  - 14712393
KW  - Silent uterine rupture
KW  - Abdominal pregnancy
KW  - Fetal expulsion
KW  - Uterine scar
UR  - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05812-1
N2  - Background Clinically silent uterine rupture with complete fetal expulsion into the abdominal cavity is an extremely rare complication. Diagnosis can be difficult and the risk to the mother and fetus is high. Conservative management has been described only in a few cases of partial expulsion of the fetus so far. Case presentation We present a case of 43-year-old tercigravida with a history of previous laparotomic myomectomy and subsequent cesarean section. The subsequent pregnancy was complicated by uterine wall loosening and rupture at the site of the previous uterine scar after myomectomy and complete fetal expulsion into the abdominal cavity. The diagnosis was made at 24 + 6 weeks of gestation. Considering the absence of clinical symptomatology and the good condition of the fetus, a conservative approach was chosen with intensive monitoring of the maternal and fetal conditions. The pregnancy ended by elective cesarean section and hysterectomy at 28 + 0 weeks of gestation. The postpartum course was uneventful and the newborn was discharged to home care 63 days after delivery. Conclusions Fetal expulsion into the abdominal cavity after silent uterine rupture of the scarred uterus may be accompanied by minimal symptomatology making early diagnosis difficult. This rare complication must be considered in the differential diagnosis in women after major uterine surgery. In selected cases and under conditions of intensive maternal and fetal monitoring, conservative management may be chosen to reduce the risks associated with prematurity.
ER  -

HRUBAN, Lukáš; Anna JOUZOVÁ; Petr JANKŮ; Vít WEINBERGER; Dagmar SEIDLOVÁ; Tomáš JUREN; Jan ŠENKYŘÍK; Jana KADLECOVÁ; Jitka HAUSNEROVÁ a Eva JANDÁKOVÁ. Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report. \textit{BMC Pregnancy and Childbirth}. London: BMC, 2023, roč.~23, č.~1, s.~1-6. ISSN~1471-2393. Dostupné z: https://doi.org/10.1186/s12884-023-05812-1.

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