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Case Report

Online Publishing Date:
28 / 05 / 2023

 


Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report

Adel Hamed Elbaih, Muhammad Candragupta Jihwaprani, Ahmed Assef Mousa, Yusuf Hafez, Abdul Halim, Yousef Barakat ElKouz.


Abstract
Uterine rupture is a rare and one of the most dreaded complications of pregnancy. It carries potentially disastrous consequences for both the mother and the fetus. It occurs frequently during the antepartum or peripartum period. In the majority of cases, the rupture occurs at the lower anterior uterine segment. However, the rupture can rarely occur atypically at the posterior wall and away from the surgical scar. The recognized major risk factors for uterine rupture include previous cesarean deliveries, uterine surgeries, advanced maternal age, and induction of labor with prostaglandins. Our center experienced an unusual case of posterior uterine rupture in a 40-year-old gravid woman, G8P6A1, presenting four hours after cesarean delivery with non-specific clinical presentation of hypotension and paleness. Physical examination revealed no abdominal distension, pain, or tenderness. Blood per-vaginum was not remarkable. The diagnosis was initially made by ultrasonographic findings and was confirmed by exploratory laparotomy. A subtotal hysterectomy was performed. Our case represents an atypical case of uterine rupture with regard to the time of presentation and the clinical features. A high-index of suspicion is therefore necessary for prompt diagnosis and management to prevent non-desirable outcomes.

Key words: Pregnancy, Morbidity, Uterine rupture


 
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How to Cite this Article
Pubmed Style

Elbaih AH, Jihwaprani MC, Mousa AA, Hafez Y, Halim A, ElKouz YB. Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report. Int J Surg Med. 2023; 9(3): 39-42. doi:10.5455/ijsm.136-1673625303

Web Style

Elbaih AH, Jihwaprani MC, Mousa AA, Hafez Y, Halim A, ElKouz YB. Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report. https://www.ejos.org/?mno=139169 [Access: February 20, 2024]. doi:10.5455/ijsm.136-1673625303

AMA (American Medical Association) Style

Elbaih AH, Jihwaprani MC, Mousa AA, Hafez Y, Halim A, ElKouz YB. Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report. Int J Surg Med. 2023; 9(3): 39-42. doi:10.5455/ijsm.136-1673625303


Vancouver/ICMJE Style

Elbaih AH, Jihwaprani MC, Mousa AA, Hafez Y, Halim A, ElKouz YB. Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report. Int J Surg Med. (2023), [cited February 20, 2024]; 9(3): 39-42. doi:10.5455/ijsm.136-1673625303


Harvard Style

Elbaih, A. H., Jihwaprani, . M. C., Mousa, . A. A., Hafez, . Y., Halim, . A. & ElKouz, . Y. B. (2023) Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report. Int J Surg Med, 9 (3), 39-42. doi:10.5455/ijsm.136-1673625303


Turabian Style

Elbaih, Adel Hamed, Muhammad Candragupta Jihwaprani, Ahmed Assef Mousa, Yusuf Hafez, Abdul Halim, and Yousef Barakat ElKouz. 2023. Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report. International Journal of Surgery and Medicine, 9 (3), 39-42. doi:10.5455/ijsm.136-1673625303


Chicago Style

Elbaih, Adel Hamed, Muhammad Candragupta Jihwaprani, Ahmed Assef Mousa, Yusuf Hafez, Abdul Halim, and Yousef Barakat ElKouz. "Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report." International Journal of Surgery and Medicine 9 (2023), 39-42. doi:10.5455/ijsm.136-1673625303


MLA (The Modern Language Association) Style

Elbaih, Adel Hamed, Muhammad Candragupta Jihwaprani, Ahmed Assef Mousa, Yusuf Hafez, Abdul Halim, and Yousef Barakat ElKouz. "Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report." International Journal of Surgery and Medicine 9.3 (2023), 39-42. Print. doi:10.5455/ijsm.136-1673625303


APA (American Psychological Association) Style

Elbaih, A. H., Jihwaprani, . M. C., Mousa, . A. A., Hafez, . Y., Halim, . A. & ElKouz, . Y. B. (2023) Posterior Uterine Wall Rupture in a Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report. International Journal of Surgery and Medicine, 9 (3), 39-42. doi:10.5455/ijsm.136-1673625303


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