Rupture of Unscarred Uterus Detected during a Cesarean Section : A case report

Moon, Ji Yeon; Lim, Kyung Ji; Park, Kum Suk; Do, Sang Hwan

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2007;2(2):70-73.
Published online April 30, 2007.

Rupture of Unscarred Uterus Detected during a Cesarean Section : A case report

Ji Yeon Moon, Kyung Ji Lim, Kum Suk Park, Sang Hwan Do

Department of Anesthesiology, Seoul National University Hospital, Seongnam, Korea. shdo@snu.ac.kr

Abstract

Uterine rupture is usually associated with previous uterine scar. Although intrapartum rupture of unscarred uterus is very rare, it may cause catastrophic outcomes to both the mother and the newborn infant compared with that of a scarred uterus. The present case describes our experience of anesthesia for an emergency cesarean section due to the arrest of fetal descent in a 36-year-old parturient who had undergone external cephalic version for the breech presentation of her fetus. We detected the rupture of her unscarred uterus during the operation under epidural anesthesia, which was changed to general anesthesia. Despite the uterine rupture the newborn infant survived uneventfully. At the postoperative twelfth day she was discharged from hospital with her baby.

Key Words: external, cephalic, version, oxytocin, unscarred, uterus, uterine