Nearly fatal uterine rupture during manual removal of the placenta: a case report

J Reprod Med. 2007 Oct;52(10):974-6.

Abstract

Background: A uterine scar is a well-known riskfactorfor both abnormal placentation and uterine rupture, both of which may lead to a serious obstetric hemorrhage.

Case: A 23-year-old woman, gravida 2, para 0 with a history of first-trimester dilatation and curettage (D&C) experienced a life-threatening obstetric hemorrhage due to uterine rupture during manual removal of a placenta increta. Cessation of the bleeding occurred only following secondary embolization after hysterectomy.

Conclusion: Obstetricians should be aware of the risk of uterine scarring and abnormal placentation in women who have undergone D&C, as it could lead to a life-threatening obstetric hemorrhage.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography
  • Cicatrix / complications*
  • Delivery, Obstetric / adverse effects*
  • Dilatation and Curettage / adverse effects*
  • Embolization, Therapeutic
  • Female
  • Humans
  • Hysterectomy
  • Placenta Accreta*
  • Postpartum Hemorrhage / etiology*
  • Postpartum Hemorrhage / therapy*
  • Pregnancy
  • Risk Factors
  • Uterine Rupture / etiology*
  • Uterine Rupture / surgery