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Case Report
Association of anhydramnios and uterine rupture in a site of unscarred uterus: A case report
1 Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Policlinico Umberto I Hospital, Rome, Italy
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Allegra Mazzeo
MD, Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Policlinico Umberto I Hospital, Viale del Policlinico, 155-00161 Rome,
Italy
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Article ID: 100126Z08AM2022
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Mazzeo A, Mancino P. Association of anhydramnios and uterine rupture in a site of unscarred uterus: A case report. J Case Rep Images Obstet Gynecol 2022;8(2):12–15.ABSTRACT
Introduction: Uterine rupture is a rare, life-threatening emergency and usually present with significant abdominal pain, vaginal bleeding, and occur on uterine scars.
Case Report: This is the case of a paucisymptomatic uterine rupture associated with anhydramnios. The lack of amniotic fluid was first thought to be caused by a premature membranes rupture hidden by cervical cerclage placed during the second trimester. The misrecognized anhydramnios, the paucity of symptoms, and the absence of vaginal bleeding delayed the diagnosis of uterine rupture, only confirmed by magnetic resonance imaging (MRI) scans showing the fetal arm through the uterine wall. Of interests, the uterine wall was ruptured on a weak site between two myomas and not at the level of the scar of a previous cesarean section.
Conclusion: This report highlights the association between anhydramnios and uterine rupture and suggests considering uterine ruptures even in the presence of mild abdominal pain and no vaginal bleeding.
Keywords: Anhydramnios, Myomas, Unscarred uterus, Uterine rupture
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Author Contributions
Allegra Mazzeo - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Pasquale Mancino - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Allegra Mazzeo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
