Uterine rupture - Revision history

Rossdonaldson1 at 20:39, 11 December 2024

2024-12-11T20:39:59Z

← Older revision		Revision as of 20:39, 11 December 2024
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	==Background==		==Background==
	[[File:Figure 28 02 01.png\|thumb\|Normal female anatomy with uterus highlighted.]]		[[File:Figure 28 02 01.png\|thumb\|Normal female anatomy with uterus highlighted.]]
			[[File:Rupture Tranverse.jpg\|thumb\|Schematic showing transverse rupture of the anterior uterine wall.]]
	[[File:PMC4556862 CRIOG2015-596826.001.png\|thumb\|Uterine rupture, with extruded amniotic sac seen with abdomen opened.]]		[[File:PMC4556862 CRIOG2015-596826.001.png\|thumb\|Uterine rupture, with extruded amniotic sac seen with abdomen opened.]]
	*Spontaneous tearing of the uterus		*Spontaneous tearing of the uterus

2024-10-02T19:15:15Z

Management

← Older revision		Revision as of 19:15, 2 October 2024
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	*[[Fluid resuscitation]]		*[[Fluid resuscitation]]
	*[[Blood product]] replacement		*[[Blood product]] replacement
	*[[Emergent delivery]] of fetus		*[[Emergent delivery]] of fetus via cesarean section

	==Disposition==		==Disposition==

2024-10-02T19:14:29Z

Evaluation

← Older revision		Revision as of 19:14, 2 October 2024
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	*[[Pelvic ultrasound]]		*[[Pelvic ultrasound]]

	===Diagnosis		===Diagnosis===
	Typically determined by [[pelvic ultrasound]] or (if emergent) OR visualization:		Typically determined by [[pelvic ultrasound]] or (if emergent) OR visualization:
	*Disruption of myometrium		*Disruption of myometrium

2024-10-02T19:06:42Z

Evaluation

← Older revision		Revision as of 19:06, 2 October 2024
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	==Evaluation==		==Evaluation==
	[[File:PMC5120064 ogs-59-454-g002.png\|thumb\|Before emergency cesarean section, the fetus was stillborn. Uterine rupture with protrusion of amniotic cavity and placenta, massive hemoperitoneum, and the uterine wall defect (white arrow) are found on abdominal computerized tomography]]		[[File:PMC5120064 ogs-59-454-g002.png\|thumb\|Before emergency cesarean section, the fetus was stillborn. Uterine rupture with protrusion of amniotic cavity and placenta, massive hemoperitoneum, and the uterine wall defect (white arrow) are found on abdominal computerized tomography]]
			===Workup===
			*CBC, chemistry
			*Coags
			*Type & screen
			*Upreg / b-HCG
			*Rh
	*[[Pelvic ultrasound]]		*[[Pelvic ultrasound]]
	**Disruption of myometrium
	**Free peritoneal fluid ([[FAST]]+)		===Diagnosis
	**Anhydramnios/empty uterus		Typically determined by [[pelvic ultrasound]] or (if emergent) OR visualization:
	**Herniated amniotic sac		*Disruption of myometrium
	**Fetal anatomy outside of uterus		*Free peritoneal fluid ([[FAST]]+)
	**Absence of FHR		*Anhydramnios/empty uterus
			*Herniated amniotic sac
			*Fetal anatomy outside of uterus
			*Absence of FHR

	==Management==		==Management==

2024-10-02T19:03:53Z

Clinical Features

← Older revision		Revision as of 19:03, 2 October 2024
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	*Palpable uterine defect		*Palpable uterine defect
	*Loss of fetal station		*Loss of fetal station
	*Fetal [[bradycardia(most suggestive)]], variable decelerations, evidence of [[hypovolemia]]<ref>https://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/uterine-rupture</ref>		*Fetal [[bradycardia]] (most suggestive), variable decelerations, evidence of [[hypovolemia]]<ref>https://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/uterine-rupture</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

2024-09-09T09:07:43Z

Clinical Features

← Older revision		Revision as of 09:07, 9 September 2024
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	*Palpable uterine defect		*Palpable uterine defect
	*Loss of fetal station		*Loss of fetal station
	*Fetal [[bradycardia]], variable decelerations, evidence of [[hypovolemia]]<ref>https://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/uterine-rupture</ref>		*Fetal [[bradycardia(most suggestive)]], variable decelerations, evidence of [[hypovolemia]]<ref>https://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/uterine-rupture</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

2024-09-09T09:00:14Z

← Older revision		Revision as of 09:00, 9 September 2024
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	[[File:PMC4556862 CRIOG2015-596826.001.png\|thumb\|Uterine rupture, with extruded amniotic sac seen with abdomen opened.]]		[[File:PMC4556862 CRIOG2015-596826.001.png\|thumb\|Uterine rupture, with extruded amniotic sac seen with abdomen opened.]]
	*Spontaneous tearing of the uterus		*Spontaneous tearing of the uterus
	*May result in fetus being expelled into ~~peritoneal cavity may result in the fetus being expelled into the~~ peritoneal cavity.		*May result in fetus being expelled into peritoneal cavity.
	*Occurs in late pregnancy or active labor		*Occurs in late pregnancy or active labor
	*Rare, prevalence:		*Rare, prevalence:

2024-05-01T16:44:34Z

Background

← Older revision		Revision as of 16:44, 1 May 2024
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	==Background==		==Background==
			[[File:Figure 28 02 01.png\|thumb\|Normal female anatomy with uterus highlighted.]]
	[[File:PMC4556862 CRIOG2015-596826.001.png\|thumb\|Uterine rupture, with extruded amniotic sac seen with abdomen opened.]]		[[File:PMC4556862 CRIOG2015-596826.001.png\|thumb\|Uterine rupture, with extruded amniotic sac seen with abdomen opened.]]
	*Spontaneous tearing of the uterus		*Spontaneous tearing of the uterus

2022-06-07T21:16:12Z

← Older revision		Revision as of 21:16, 7 June 2022
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	==Evaluation==		==Evaluation==
	[[File:PMC5120064 ogs-59-454-g002.png\|thumb\|]]		[[File:PMC5120064 ogs-59-454-g002.png\|thumb\|Before emergency cesarean section, the fetus was stillborn. Uterine rupture with protrusion of amniotic cavity and placenta, massive hemoperitoneum, and the uterine wall defect (white arrow) are found on abdominal computerized tomography]]
	*[[Pelvic ultrasound]]		*[[Pelvic ultrasound]]
	**Disruption of myometrium		**Disruption of myometrium
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	*[[Blood product]] replacement		*[[Blood product]] replacement
	*[[Emergent delivery]] of fetus		*[[Emergent delivery]] of fetus

			==Disposition==
			*Admission (emergently to operating room)

	==See Also==		==See Also==
	*[[Postpartum Emergencies]]		*[[Postpartum Emergencies]]

			==External Links==

	==References==		==References==
	<references/>		<references/>


	[[Category:OBGYN]]		[[Category:OBGYN]]

2022-06-07T21:11:31Z

Evaluation