A rare case of intrapartum rupture at the cervicovaginal junction in the unscarred uterus

Author: 
Vikas Devkare., Meenakshi Gothwal., Nandkishor Gaikwad., Neha Agrawal and Sushil Pawar

Rupture of the uterus is a rare catastrophic event associated with high morbidity and mortality. Major risk factor for rupture is scarred uterus mainly with the previous caesarean but it can occur in some cases with an unscarred uterus. We hereby report a case referred to our institution as gravida 3 para 1 abortion1 with prolonged labour and nil draining liquor. The patient was taken up for emergency LSCS, and surprisingly an unusual transverse tear was noted at a cervicovaginal junction of about 8 centimetres exactly 6 centimetres below the incision line over lower uterine segment while examining the bladder flap. The purpose of presenting this case is to understand the importance of proper medical care through examination of the lower segment below the bladder flap in all cases of caesarean section and the need of definitive surgeries in order to save the life of the patient.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.12514.2201
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