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Scientific paper - Case study
Uterine rupture following myomectomy in third trimester
Acta clinica Croatica, 54. (2015), 4.; 521-524. urn:nbn:hr:220:995503
Djaković, Ivka; Sabolović Rudman, Senka; Djaković, Željko; Košec, Vesna

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Djaković, I., Sabolović Rudman, S., Djaković, Ž. & Košec, V. (2015). Uterine rupture following myomectomy in third trimester. Acta clinica Croatica, 54.. (4.), 521-524. Retrieved from https://urn.nsk.hr/urn:nbn:hr:220:995503

Djaković, Ivka, et al. "Uterine rupture following myomectomy in third trimester." Acta clinica Croatica, vol. 54., no. 4., 2015, pp. 521-524. https://urn.nsk.hr/urn:nbn:hr:220:995503

Djaković, Ivka, Senka Sabolović Rudman, Željko Djaković and Vesna Košec. "Uterine rupture following myomectomy in third trimester." Acta clinica Croatica 54., no. 4. (2015): 521-524. https://urn.nsk.hr/urn:nbn:hr:220:995503

Djaković, I., et al. (2015) 'Uterine rupture following myomectomy in third trimester', Acta clinica Croatica, 54.(4.), pp. 521-524. Available at: https://urn.nsk.hr/urn:nbn:hr:220:995503 (Accessed 22 November 2024)

Djaković I, Sabolović Rudman S, Djaković Ž, Košec V. Uterine rupture following myomectomy in third trimester. Acta clinica Croatica [Internet]. 2015 [cited 2024 November 22];54.(4.):521-524. Available at: https://urn.nsk.hr/urn:nbn:hr:220:995503

I. Djaković, S. Sabolović Rudman, Ž. Djaković and V. Košec, "Uterine rupture following myomectomy in third trimester", Acta clinica Croatica, vol. 54., no. 4., pp. 521-524, 2015. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:995503. [Accessed: 22 November 2024]

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Metadata
Title (english)Uterine rupture following myomectomy in third trimester
Title (croatian)Ruptura maternice u trećem trimestru nakon prethodne miomektomije
AuthorIvka Djaković https://orcid.org/0000-0003-2275-6389
AuthorSenka Sabolović Rudman
AuthorŽeljko Djaković
AuthorVesna Košec
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (english)
Rupture of gravid uterus is surgical emergency causing maternal and fetal morbidity and mortality. The risk of uterine rupture is associated with uterine scars caused by previous cesarean section, myomectomy, hysteroscopic procedures, and curettage. We report a case of a 40-year-old woman in 31st week of gestation with spontaneous uterine rupture. It was her third pregnancy. She had two healthy children from previous pregnancies. Her symptoms were abdominal pain, vomiting and pain in the right shoulder lasting for 12 hours prior to admission. Ultrasound examination at admission revealed a dead fetus in the abdomen and free fluid in the abdominal cavity. She had previously undergone laparoscopic myomectomy. After myomectomy, she had one successful vaginal delivery. Every abdominal pain in pregnant woman with uterine scar should be carefully and promptly examined to exclude uterine rupture before further diagnostic procedures. This early time frame is essential for survival of the fetus and sometimes even of the mother. Uterine rupture represents indication for immediate cesarean section and it should be performed within 25 minutes of the first signs of uterine rupture. As shown in the case presented, one successful vaginal delivery after myomectomy is no guarantee for future pregnancies.
Abstract (croatian)
Ruptura maternice je akutno stanje u porodništvu koje može voditi do majčine i/ili fetalne smrti. Rizik za rupturu maternice povezan je s ožiljkom na maternici uzrokovanim prethodnim carskim rezom, miomektomijom, histeroskopskim zahvatom ili kiretažom. Prikazuje se 40-godišnja trudnica u 31. tjednu trudnoće koja je imala spontanu rupturu maternice. Ovo je bila treća trudnoća ove bolesnice koja je iz ranijih trudnoća rodila dvoje zdrave djece. Simptomi su bili praćeni bolovima u trbuhu, povraćanjem i bolovima u desnom ramenu koji su trajali 12 sati. Ultrazvučnim pregledom kod prijma je nađen mrtav plod u trbušnoj šupljini uz slobodnu tekućinu u abdomenu. Prethodno je bolesnica jedanput imala laparoskopsku miomektomiju. Nakon miomektomije je vaginalno rodila. Svakoj boli u trbuhu kod trudnice s ožiljkom na maternici treba pristupiti pažljivo i hitno pregledati te obraditi kako bi se isključila ruptura maternice prije daljnjih dijagnostičkih postupaka. Ovo rano vrijeme prepoznavanja je ključno za preživljavanje fetusa, a ponekad i majke. Ruptura maternice je indikacija za hitni carski rez koji treba učiniti unutar 25 minuta od prvih znakova rupture maternice. Čak niti jedan uspješan porod nakon stanja poslije miomektomije ne jamči da će ožiljak izdržati drugu trudnoću.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 54., no. 4., pp. 521-524
p-ISSN0353-9466
e-ISSN1333-9451
URN:NBNurn:nbn:hr:220:995503
Publication2015
Document URLhttps://hrcak.srce.hr/156229
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2023-06-09 10:15:11