Rupture of uterine muscle hematoma following diagnostic amniocentesis at 18 weeks and uterine dehiscence at term

Authors

  • Zane Krastiņa Maternity care center, Pauls Stradiņš Clinial University Hospital, Riga, Latvia Faculty of Medicine, University of Latvia, Riga, Latvia
  • Jānis Šavlovskis Institute of Diagnostic Radiology, Pauls Stradiņš Clinical University Hospital, Riga, Latvia Faculty of Medicine, University of Latvia, Riga, Latvia
  • Anna Langrate Faculty of Medicine, University of Latvia, Riga, Latvia
  • Toms Znotiņš Faculty of Medicine, University of Latvia, Riga, Latvia

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174463

Keywords:

Amniocentesis, Angiography, Pregnancy, Uterine rupture

Abstract

Uterine rupture during pregnancy is a rare complication that, like any rupture in other body organ, has a life-saving condition. However, in this case, it threatens both, the mother and the child lives and it can lead to serious complications such as asphyxia, hemorrhagic shock, perinatal hysterectomy, hypoxic ischemic encephalopathy, brain injury, and death. It is known, that most often, it develops during the third trimester of pregnancy or during labor. We report a patient who experienced uterine rupture with 2500 ml blood loss following the diagnostic amniocentesis at 16 weeks. The same patient had suture dehiscence at the site of hematoma what was revealed during the Caesarean section at 37 weeks and a healthy baby was delivered.

References

Al-Zirqi I, Stray-Pedersen B, Forsén L, Daltveit A-K, Vangen S. Uterine rupture: trends over 40 years. BJOG Int J Obstet Gynecol. 2016 Apr 1;123(5):780-7.

Dow M, Wax JR, Pinette MG, Blackstone J, Cartin A. Third-Trimester Uterine Rupture without Previous Cesarean: A Case Series and Review of the Literature. Am J Perinatol. 2009 Nov;26(10):739-44.

Manoharan M, Wuntakal R, Erskine K. Uterine rupture: a revisit. Obstet Gynaecol. 2010 Oct 1;12(4):223-30.

Jo YS, Kim MJ, Lee GSR, Kim SJ. A large amniocele with protruded umbilical cord diagnosed by 3D ultrasound. Int J Med Sci. 2012;9(5):387-90.

Nkwabong E, Kouam L, Takang W. Spontaneous uterine rupture during pregnancy: case report and review of literature. Afr J Reprod Health. 2007 Aug;11(2):107-12.

Norton M, Jackson M. Practice Bulletin No. 162: Prenatal Diagnostic Testing for Genetic Disorders. Obstet Gynecol. 2016 May;127(5):108-22.

ER P, NA, UR. Amniocentesis results and retrospective analysis performed in the university clinic. Perinat J. 2013;21(2):47-52.

Randomised trial to assess safety and fetal outcome of early and midtrimester amniocentesis. The Canadian Early and Mid-trimester Amniocentesis Trial (CEMAT) group. Lancet. 1998 Jan 24;9098(361).

Borgida AF, Mills AA, Feldman DM, Rodis JF. Outcome of pregnancies complicated by ruptured membranes after genetic amniocentesis. Am J Obstet Gynecol. 2000 Oct;183(4):937-9.

Delamare C, Carbonne B, Helm N, Berkane N, Petit JC, Uzan S, et al. Detection of hepatitis C virus RNA (HCV RNA) in amniotic fluid: a prospective study. J Hepatol. 1999 Sep 31;31(3):416-20.

Mandelbrot L, Jasseron C, Ekoukou D, Batallan A, Bongain A, Pannier E et al. Amniocentesis and mother-to-child human immunodeficiency virus transmission in the Agence Nationale de Recherches sur le SIDA et les Hépatites Virales French Perinatal Cohort. Am J Obstet Gynecol. 2009 Feb;200(2):160.e1-9.

Eddleman KA, Malone FD, Sullivan L, Dukes K, Berkowitz RL, Kharbutli Y et al. Pregnancy Loss Rates After Midtrimester Amniocentesis. Obstet Gynecol. 2006 Nov;108(5):1067-72.

Akolekar R, Beta J, Picciarelli G, Ogilvie C, D’Antonio F. Procedure-related risk of miscarriage following amniocentesis and chorionic villus sampling: a systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2015 Jan;45(1):16-26.

Bakker M, Birnie E, Robles de Medina P, Sollie KM, Pajkrt E, Bilardo CM. Total pregnancy loss after chorionic villus sampling and amniocentesis: a cohort study: Procedure-related pregnancy loss. Ultrasound Obstet Gynecol. 2017 May;49(5):599-606.

Jo YS, Kim MJ, Lee GSR, Kim SJ. A large amniocele with protruded umbilical cord diagnosed by 3D ultrasound. Int J Med Sci. 2012;9(5):387-90.

Williams AE, Stallworthy JA. A simple method of internal tocography. Lancet. 1952;330(1).

Liley AW. Technique and complications of amniocentesis. New Zeal Med J. 1960;581(59).

ACR Practice Guideline for imaging pregnant or potentially pregnant adolescents and women with ionizing radiation [Internet]. 2008 [cited 2017 Mar 27]. Available at http://www.who.int/tb/advisory_bodies/impact_measurement_taskforce/meetings/prevalence_survey/imaging_pregnant_arc.pdf

Kruskal JB. Diagnostic imaging procedures during pregnancy - UpToDate [Internet]. 2017 [cited 2017 Jan 9]. Available at https://datubazes.lanet.lv:2265/contents/diagnostic-imaging-procedures-during-pregnancy?source=search_result&search=imaging%20in%20pregnancy&selectedTitle=1~150

ACR Manual of Contrast Media [Internet]. [cited 2017 Mar 27]. Available at https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast-Manual/2016_Contrast_Media.pdf?la=en.

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Published

2017-09-23

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Section

Case Reports