Too “Big-Headed”, to Exit, a Massive Fetal Hydricephalus Causing Maternal Uterine Rupture.
Uterine Rupture After Delivery of Fetal Hydrocephalus
Abstract
Uterine rupture is an obstetric emergency, defined as a complete tear of all three layers of the uterus. It carries catastrophic maternal and fetal outcomes. While most commonly associated with previous cesarean deliveries or surgical obstetric-related procedures, it may very rarely be associated with abnormally high intrauterine pressure secondary to obstructed labor. Our center experienced a referred case of a spontaneous uterine rupture occurring after augmentation of labor and instrumental delivery of a hydrocephalic intrauterine fetal demise in an unbooked 29-year-old G4P3002 woman at 33 weeks’ gestation. She presented with acute hypotension and severe postpartum hemorrhage. Uterine rupture was diagnosed on clinical grounds. Early stabilization by maternal resuscitation and bleeding control was followed by an emergency total hysterectomy due to refractory hemorrhage. Our case depicted obstructed labor as a potential cause of uterine rupture and underpins the importance of routine antenatal care awareness which is still frequently overlooked in developing countriesReferences
Elbaih AH, Jihwaprani MC, Mousa AA, Hafez Y, Halim A, ElKouz YB. Posterior Uterine Wall Rupture in a
Multiparous Female Presenting Post-Cesarean Deliveries: A Case Report. Int J Surg Med. Online First:
May, 2023. doi:10.5455/ijsm.136-1673625303
Abrar S, Abrar T, Sayyed E, Naqvi SA. Ruptured uterus: Frequency, risk factors and feto-maternal
outcome: Current scenario in a low-resource setup. Plos One. 2022;17(4):e0266062. Published 2022
Apr 8. doi:10.1371/journal.pone.0266062
Zia S, Rafique M, Rizwan A, Amin AB. Khan T. Uterine Rupture: Changing Trends I=in Obstetrics and
Lessons For Obstetricians. J South Asian Fed Obstet Gynaecol. 2012; 4:155–8. Published 2012 Sep 15.
doi:10.5005/JP-JOURNALS-10006-1201
Hofmeyr GJ, Say L, Gülmezoglu AM. WHO systematic review of maternal mortality and morbidity: the
prevalence of uterine rupture. BJOG. 2005;112(9):1221-1228. doi:10.1111/j.1471-0528.2005.00725
Laksono AD, Rukmini R, Wulandari RD. Regional disparities in antenatal care utilization in Indonesia.
PLoS One. 2020;15(2):e0224006. Published 2020 Feb 13. doi:10.1371/journal.pone.0224006
Raru TB, Mamo Ayana G, Bahiru N, et al. Quality of antenatal care and associated factors among
pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysis. Womens
Health (Lond). 2022;18;17455065221076731. doi:10.1177/17455065221076731
Thomale UW. Integrated understanding of hydrocephalus - a practical approach for a complex disease.
Childs Nerv Syst. 2021;37(11):3313-3324. doi:10.1007/s00381-021-05243-3
Weerakkody Y, Knipe H, Jones J, et al. Fetal ventriculomegaly. Reference article, Radiopaedia.org
(Accessed on 23 Apr 2024) https://doi.org/10.53347/rID-13426.
Spennato P, Saccone G, Fratta A, et al. Prenatal diagnosis and postnatal management of congenital
unilateral hydrocephalus for stenosis of the foramen of Monro. Elsevier Radiology Case Report.
;16(9):2530-2533. Published 2021 Jul 3. doi:10.1016/j.radcr.2021.06.011.
Abebe MS, Seyoum G, Emamu B, Teshome D. Congenital Hydrocephalus and Associated Risk Factors:
An Institution-Based Case-Control Study, Dessie Town, North East Ethiopia. Pediatric Health Med
Ther. 2022;13:175-182. Published 2022 May 11. doi:10.2147/PHMT.S364447
Weerakkody Y, Elfeky M, Riahi P, et al. Fetal hydrocephalus. Reference article, Radiopaedia.org
(Accessed on 23 Apr 2024) https://doi.org/10.53347/rID-13732
Lindblad J, Moustgaard Jeppesen M, Khalil MR. Term Delivery Complicated by Uterine Rupture with
No Prior History of Cesarean Section or Uterine Curettage Following Oxytocin Use and Arrest in
Second Stage of Labor: A Case Report. Am J Case Rep. 2023;24:e939727. Published 2023 Jul 22.
doi:10.12659/AJCR.939727
Surti A, Usmani A, Javaid Q, Shafique S. Association of fetal hydrocephalus with other embryological
anomalies: A prenatal ultrasound-based study. Pak J Med Sci. 2022;38(6):1617-1621.
doi:10.12669/pjms.38.6.5223
Jimenez AR, Naz N, Miyan JA. Altered folate binding protein expression and folate delivery are
associated with congenital hydrocephalus in the hydrocephalic Texas rat. J Cereb Blood Flow Metab.
;39(10):2061-2073. doi:10.1177/0271678X18776226
Hochstetler A, Raskin J, Blazer-Yost BL. Hydrocephalus: historical analysis and considerations for
treatment. Eur J Med Res. 2022;27(1):168. Published 2022 Sep 1. doi:10.1186/s40001-022-00798-6
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