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- Title
Reporte de caso: ruptura uterina durante trabajo de parto, en útero sin cicatriz previa.
- Authors
Pablo Ballesteros-Trillos, Juan; Almeida-Arguello, Nathalia Andrea
- Abstract
Uterine rupture is a rare obstetric complication with high maternal and infant morbidity and mortality. Early diagnosis and immediate treatment are important prognostic factors for both mother and fetus. The study presents the case of a multigravida patient, with high risk for compensated gestational diabetes, and uncontrolled protein S deficiency. The patient, who was full-term and had adequate prenatal control, was admitted hemodynamically stable, with initial cervical changes, fetus in longitudinal presentation, andcephalic with monitoring category ACOG 1. The patient spontaneous uterine rupture, which leads to maternal hemoperitoneum and acute fetal distress. Cesarean section and hysterectomy were performed as emergency surgical treatments due to uterine atony without bleeding control with pharmacological maneuvers. This case is great significance due to the lack of risk factors and the atypical clinical presentation, evidenced in the signs and symptoms and the rupture's location.
- Subjects
PROGNOSIS; PROTEIN S deficiency; CESAREAN section; GESTATIONAL diabetes; SYMPTOMS; FETAL distress; UTERINE rupture
- Publication
Médicas UIS, 2021, Vol 34, Issue 1, p107
- ISSN
0121-0319
- Publication type
Article
- DOI
10.18273/revmed.v34n1-2021011