امروز : دوشنبه   ۲۹. آبان ۱۳۹۶   /    1. ربيع‌الاول 1439   /    20. نوامبر 2017

Antepartum Uterine Rupture Occurring at the Site of a Peviously Repaired Dilatation and Curettage-Induced Perforation: A Case Report

Antepartum Uterine Rupture Occurring at the Site of a Peviously Repaired Dilatation and Curettage-Induced Perforation: A Case Report
Leila Ghahramani1, Sam Moslemi2*, Maryam Tahamtan3, Mohammad Hasan Hashemizadeh2, Abdolkhalegh Keshavarzi2
1 Colorectal Research Center, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
2 Department of General Surgery, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
3 Department of Internal Medicine, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Corresponding author: Sam Moslemi
Address: Department of General Surgery, Shahid Faghihi Hospital, Zand Avenue, Shiraz, Iran. 
Tel: +98-937-0928760

e-mail: آدرس ایمیل جهت جلوگیری از رباتهای هرزنامه محافظت شده اند، جهت مشاهده آنها شما نیاز به فعال ساختن جاوا اسکریپت دارید

Keywords: Uterine Rupture; Dilatation; Curettage; Peritonitis.
The uterine rupture during pregnancy is a catastrophic condition resulting in both maternal and perinatal morbidity and mortality. It occurs in nearly 1% of patients with previous cesarean sections. However, uterine rupture at the site of previous iatrogenic perforation which is spontaneously healed or repaired is less reported. We present a 29-year-old woman, gravida 3 para 1, at 20 weeks of gestation with abdominal pain of right half  and  hemodynamic instability whose laboratory evaluations revealed severe acute blood loss but still without any signs of peritonitis. The exploratory laparotomy revealed a uterine rupture at the site of fundus at the same location of previously repaired dilatation and curettage-induced perforation contributing to extrusion of whole  pregnancy product in addition to severe intra-abdominal blood loss.

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