Spontaneous rupture of uterus

Meraj N. Siddiqui, Jayanthie Ranasinghe

Research output: Contribution to journalArticle

13 Citations (Scopus)

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 languageEnglish
Pages (from-to)368-370
Number of pages3
JournalJournal of Clinical Anesthesia
Volume14
Issue number5
DOIs
StatePublished - Aug 1 2002

Fingerprint

Uterine Rupture
Spontaneous Rupture
Uterus
Pain
Epidural Analgesia
Deceleration
Vital Signs
Groin
Oxytocin
Hysterectomy
Cesarean Section
Analgesics
Fetus
Emergencies

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 journalArticle

Siddiqui, MN & Ranasinghe, J 2002, 'Spontaneous rupture of uterus', Journal of Clinical Anesthesia, vol. 14, no. 5, pp. 368-370. https://doi.org/10.1016/S0952-8180(02)00375-6
Siddiqui, Meraj N. ; Ranasinghe, Jayanthie. / Spontaneous rupture of uterus. In: Journal of Clinical Anesthesia. 2002 ; Vol. 14, No. 5. pp. 368-370.
@article{ad502868fd7341bbae9651048b4eb452,
title = "Spontaneous rupture of uterus",
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.",
keywords = "Analgesia, labor, Anesthesia, obstetrical, Uterine rupture",
author = "Siddiqui, {Meraj N.} and Jayanthie Ranasinghe",
year = "2002",
month = "8",
day = "1",
doi = "10.1016/S0952-8180(02)00375-6",
language = "English",
volume = "14",
pages = "368--370",
journal = "Journal of Clinical Anesthesia",
issn = "0952-8180",
publisher = "Elsevier Inc.",
number = "5",

}

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 -