Abstract
Spontaneous rupture of the uterus is a life-threatening obstetrical emergency. Diagnosis may be delayed because of the bizarre presentation or absence of significant pain and tenderness, which could have been masked by the analgesic medications used during labor. We present a case of spontaneous rupture in a multigravid female who was undergoing oxytocin-augmented labor while receiving epidural analgesia. She had had no previous cesarean deliveries or uterine surgery. Half an hour after an initial complaint of left inguinal pain, which was thought to be related to a patchy epidural block, she presented with changes in vital signs and significant fetal decelerations. At emergent cesarean section, a uterine rupture was noted. The uterine rupture extended down to the left vaginal angle, was not reparable and a hysterectomy was performed. The fetus survived.
| Original language | English |
|---|---|
| Pages (from-to) | 368-370 |
| Number of pages | 3 |
| Journal | Journal of Clinical Anesthesia |
| Volume | 14 |
| Issue number | 5 |
| DOIs | |
| State | Published - Aug 1 2002 |
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Keywords
- Analgesia, labor
- Anesthesia, obstetrical
- Uterine rupture
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Spontaneous rupture of uterus. / Siddiqui, Meraj N.; Ranasinghe, Jayanthie.
In: Journal of Clinical Anesthesia, Vol. 14, No. 5, 01.08.2002, p. 368-370.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Spontaneous rupture of uterus
AU - Siddiqui, Meraj N.
AU - Ranasinghe, Jayanthie
PY - 2002/8/1
Y1 - 2002/8/1
N2 - Spontaneous rupture of the uterus is a life-threatening obstetrical emergency. Diagnosis may be delayed because of the bizarre presentation or absence of significant pain and tenderness, which could have been masked by the analgesic medications used during labor. We present a case of spontaneous rupture in a multigravid female who was undergoing oxytocin-augmented labor while receiving epidural analgesia. She had had no previous cesarean deliveries or uterine surgery. Half an hour after an initial complaint of left inguinal pain, which was thought to be related to a patchy epidural block, she presented with changes in vital signs and significant fetal decelerations. At emergent cesarean section, a uterine rupture was noted. The uterine rupture extended down to the left vaginal angle, was not reparable and a hysterectomy was performed. The fetus survived.
AB - Spontaneous rupture of the uterus is a life-threatening obstetrical emergency. Diagnosis may be delayed because of the bizarre presentation or absence of significant pain and tenderness, which could have been masked by the analgesic medications used during labor. We present a case of spontaneous rupture in a multigravid female who was undergoing oxytocin-augmented labor while receiving epidural analgesia. She had had no previous cesarean deliveries or uterine surgery. Half an hour after an initial complaint of left inguinal pain, which was thought to be related to a patchy epidural block, she presented with changes in vital signs and significant fetal decelerations. At emergent cesarean section, a uterine rupture was noted. The uterine rupture extended down to the left vaginal angle, was not reparable and a hysterectomy was performed. The fetus survived.
KW - Analgesia, labor
KW - Anesthesia, obstetrical
KW - Uterine rupture
UR - http://www.scopus.com/inward/record.url?scp=0036696972&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036696972&partnerID=8YFLogxK
U2 - 10.1016/S0952-8180(02)00375-6
DO - 10.1016/S0952-8180(02)00375-6
M3 - Article
VL - 14
SP - 368
EP - 370
JO - Journal of Clinical Anesthesia
JF - Journal of Clinical Anesthesia
SN - 0952-8180
IS - 5
ER -