Primary repair of cornual rupture occurring at 21 weeks gestation and successful pregnancy outcome.
The successful delivery in a 31 year old woman at 33 weeks gestation is reported, after repair to a cornual rupture which occurred at 21 weeks gestation. The patient exhibited acute abdominal pain and pending shock. Emergency laparotomy showed a cornual rupture and an intrauterine vital fetus having intact amnion membrane. On the patient's family's insistence, primary repair for a cornual rupture was performed and preservation of the fetus attempted. Postoperatively, tocolytic agent with ritodrine hydrochloride was administered and close follow-up of the patient was uneventful. The patient had a smooth obstetric course until 33 weeks gestation when premature rupture of the membranes occurred, soon followed by the onset of labour. She underwent an elective Caesarean section and delivered a normal male fetus weighing 2140 g with Apgar scores at 1, 5 and 10 min of 6, 8, and 9 respectively. Because of this successful outcome, we suggest that primary repair for such an unusual patient should be accepted.
Department of Obstetrics and Gynecology, Veterans General Hospital-Taipei and National Yang-Ming University, 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan.
P H
PH
Wang
H T
HT
Chao
L L
LL
Too
C C
CC
Yuan
D000006:Abdomen, Acute / Q000209:etiology / Q000601:surgery; D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D012422:Rupture, Spontaneous / Q000150:complications / Q000473:pathology / Q000601:surgery; D014597:Uterine Rupture / Q000150:complications / Q000473:pathology / Q000601:surgery*