July 21st, 2018

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Recurrent Prelabor Rupture of Gravid Uterus with Good Clinical Outcome: Once Bitten, Twice Shy! A Case Report
Authors:  Elsy Thomas, M.D., Vaibhav Londhe, M.D., and Leena Robinson Vimala, M.D.
BACKGROUND: Spontaneous prelabor rupture of an unscarred gravid uterus is not commonly seen in clinical practice. A high index of suspicion is required to make the diagnosis, especially in a primigravida. The clinical outcome in terms of fetal salvageability is often poor in such situations. Fetal outcome could be good if managed appropriately in future pregnancies.

CASE: We report a patient whom we managed in both pregnancies. In the index pregnancy the diagnosis of uterine rupture was made only intraoperatively, while in the second pregnancy prompt diagnosis and management resulted in a good outcome for both mother and infant.

CONCLUSION: Recurrent prelabor rupture of the gravid uterus can result in favorable outcome if managed appropriately.
Keywords:  abdominal pain, diagnosis, hemoperitoneum, labor onset, pregnancy complications, uterine rupture
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