title: Adenomyosis and uterus rupture during labor.
abstract: A spontaneous uterus rupture occurred during the labour of a 37-week-pregnant woman showing a precocious rupture of membranes. It appeared enlarged and the cut surface of the myometrium showed coarse trabeculations. The histological examination showed a hypertrophic gravidic myometrium with heterogeneous areas of fibrosis and adenomyosis, necrotic decidual foci and hyperplastic cervical canal glands. Our experience suggests that a silent and spontaneous uterine rupture, is possible even in the absence of the principal risk factors.
authors.affiliation: Institute of Obstetrics and Gynaecology, University of Catania, Via G. D'Annunzio no. 125, 95127 Catania, Italy. pafumi@mbox.unict.it
authors.forename: C
authors.initials: C
authors.lastname: Pafumi
authors.forename: M
authors.initials: M
authors.lastname: Farina
authors.forename: G
authors.initials: G
authors.lastname: Pernicone
authors.forename: A
authors.initials: A
authors.lastname: Russo
authors.forename: S
authors.initials: S
authors.lastname: Bandiera
authors.forename: P
authors.initials: P
authors.lastname: Giardina
authors.forename: A
authors.initials: A
authors.lastname: Cianci
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000209:etiology*; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000209:etiology*; D011247:Pregnancy; D012307:Risk Factors; D012422:Rupture, Spontaneous; D014591:Uterine Diseases / Q000209:etiology*