Adenomyosis and uterus rupture during labor.
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.
Pafumi
C
C
Institute of Obstetrics and Gynaecology, University of Catania, Via G. D'Annunzio no. 125, 95127 Catania, Italy. pafumi@mbox.unict.it
Farina
M
M
Pernicone
G
G
Russo
A
A
Bandiera
S
S
Giardina
P
P
Cianci
A
A
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*