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Prenatal sonographic diagnosis of uterine rupture following open fetal surgery.
Ranzini, A C; White, M; Guzman, E R; Scorza, W E.
Afiliación
  • Ranzini AC; Department of Obstetrics, Gynecology and Reproductive Sciences, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School/St. Peter's Medical Center, New Brunswick, USA.
Obstet Gynecol ; 93(5 Pt 2): 826-7, 1999 May.
Article en En | MEDLINE | ID: mdl-10912409
BACKGROUND: Reported cases of uterine rupture diagnosed by ultrasound have shown fetal membranes ballooning through uterine rupture sites, or adjacent areas of hemorrhage. CASE: A 27-year-old gravida 3, para 2 had open fetal surgery to repair a fetal myelomeningocele at 28 weeks' gestation. Her postoperative course was complicated by threatened preterm labor and anhydramnios. At 33 weeks' gestation, with maternal symptoms of bowel obstruction, ultrasound showed a fetal leg and section of umbilical cord protruding through the uterine wall. CONCLUSION: Even in the presence of anhydramnios, uterine wall rupture was identified, because ultrasound evaluation of the uterine wall showed prolapsed fetal parts and umbilical cord. Persistent anhydramnios after open fetal surgery should prompt a search for uterine rupture.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Rotura Uterina / Ultrasonografía Prenatal / Meningomielocele / Enfermedades Fetales Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Obstet Gynecol Año: 1999 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Rotura Uterina / Ultrasonografía Prenatal / Meningomielocele / Enfermedades Fetales Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Obstet Gynecol Año: 1999 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos