title: Silent uterine rupture, an unusual cause of anhydramnios.
abstract: Anhydramnios is a rather common ultrasound finding, usually caused by ruptured membranes, placental dysfunction, or impaired fetal renal function. We present a case of anhydramnios, resulting from the perforation of a fetal leg through the uterine wall. Neonatal death occurred caused by severe lung hypoplasia. The absence of clinical symptoms strongly suggests a preexisting weak spot in the uterine wall, presumably resulting from an unrecognized perforation at a previous curettage procedure.
authors.affiliation: Department of Obstetrics, Fetal Medicine Unit, Leiden University Medical Center, Leiden, The Netherlands. a.k.k.teunissen@lumc.nl
authors.forename: Katinka K
authors.initials: KK
authors.lastname: Teunissen
authors.forename: Enrico
authors.initials: E
authors.lastname: Lopriore
authors.forename: Remco G W
authors.initials: RG
authors.lastname: Nijman
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Brouwer
authors.forename: Inge L
authors.initials: IL
authors.lastname: van Kamp
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects; D000328:Adult; D000653:Amniotic Fluid / Q000000981:diagnostic imaging*; D005260:Female; D005313:Fetal Death; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011256:Pregnancy Outcome; D016216:Ultrasonography, Prenatal; D014597:Uterine Rupture / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery