Uterine rupture of an unscarred gravid uterus at term attributed to adenomyosis

被引:0
|
作者
Phillips, Lucy [1 ]
Brown, Heather [2 ]
Williams, Anthony [2 ]
机构
[1] Royal Sussex Cty Hosp, Obstet & Gynaecol, Brighton, England
[2] Royal Sussex Cty Hosp, Brighton, England
关键词
pregnancy; pathology; adult intensive care;
D O I
10.1136/bcr-2023-257145
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Uterine rupture is a rare obstetric emergency that is typically associated with the presence of scar tissue such as in the case of previous caesarean section. In this case report, a primigravid patient presented to the hospital in cardiac arrest with massive haemoperitoneum secondary to a posterior uterine rupture. The histological specimen was found to have diffuse adenomyosis at the site of rupture. On review of the literature, there is insufficient evidence to suggest we as clinicians should alter the antenatal care for patients with known adenomyosis; however, this case highlights how we should have a high index of suspicion for those presenting with signs and symptoms of uterine rupture with known adenomyosis in the absence of other risk factors.
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页数:3
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