[About a case of uterine per-partum rupture, 37months after resection of a rectovaginal endometriosis nodule]

O. Delépine, Delépine O, S. Curinier, Curinier S, Agar N, N Agar, Nicholas Agar, G. Piquier-Perret, Piquier-Perret G, D. Gallot, Gallot D, C. Houlle, Houlle C, Michel Canis, M Canis, Pouly JL, J.-L. Pouly
Journal de gynecologie, obstetrique et biologie de la reproduction · 2016 · vol. 45(8) , pp. 985–989 · doi:10.1016/j.jgyn.2016.06.007 · PMID:27496570 · W2517191498
Case report OA: closed CC0 ⤵ 2 in-corpus citations
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This case report describes a uterine rupture during childbirth occurring 37 months after surgical resection of a rectovaginal endometriosis nodule.

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Abstract

Endometriosis is a common condition in women, whose main repercussions are painful symptoms. In addition, it was shown that endometriosis was a major cause of infertility and various obstetric complications could be related to this pathology. Uterine rupture is a rare but serious complication whose incidence tends to decrease with the screening of women at risk, however, its fetal, maternal morbidity and mortality causes remains important. We were confronted with a case of posterior uterine rupture in a patient of 36 years, primipare term exceeded in immediate postpartum period. The patient's primary antecedent of uterine surgery torus was responsible for infertility endometriosis. The outcome was favorable for the mother, after a surgical treatment by laparotomy, and for the child. In the literature, two cases have been reported of uterine rupture after endometriosis surgery, which is why we found it interesting to report this rare case. Given the increase in surgical management of this disease, it seems relevant to ask whether, in the future, we should be more vigilant in monitoring pregnancy for these women.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Rectal Diseases Uterine Rupture Vaginal Diseases Adult Adult Endometriosis Endometriosis Female Female Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Humans Pregnancy Pregnancy Rectal Diseases Rectal Diseases Uterine Rupture

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License: CC0 · commercial use OK