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Theory and Practice in Medicine, 2009, Vol. 15, No. 4


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ENDOMETRIOSIS AND SPONTANEOUS RUPTURE OF THE UTERUS DURING THE LABOR (CASE REPORT)

Virginija Paliulytė, Gediminas Mečėjus


Correspondence Address: gediminas.mecejus@mf.vu.lt

Key words: Endometriosis, adenomiosis, delivery, rupture of the uterus, hemorrhagic shock.
Hemoperitoneum resulting from spontaneous rupture of the uterine vessels in pregnancy or during labor is rare and associated with high maternal and fetal mortality. Uterine rupture most likely is expected in scared uterus with typical clinical symptoms or after difficult second stage of labor (after use of forceps or vacuum extraction). However, little has so far been reported on the uterine rupture linked to severe endometriosis. This case report shows atypical course of the uterine rupture during the labor and not clear diagnosis till the end. The symptoms of rupture were unrepresentative, there was critical woman’s health condition and the outcomes were poor. Operative findings were outspread endometriosis in the minor pelvis. This case report reminds about rare causes and atypical symptoms of the uterine rupture.

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