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AJP Rep 2013; 03(02): 079-082
DOI: 10.1055/s-0033-1341575
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Spontaneous Complete Uterine Rupture in a Nonlaboring, Early Third-trimester Uterus: Missed Diagnosis by Ultrasound

Luke Dixon
1   Department of Obstetrics and Gynecology, Winnie Palmer Hospital, Orlando Regional Healthcare, Orlando, Florida
,
S. J. Carlan
1   Department of Obstetrics and Gynecology, Winnie Palmer Hospital, Orlando Regional Healthcare, Orlando, Florida
,
T. D. O'Leary
1   Department of Obstetrics and Gynecology, Winnie Palmer Hospital, Orlando Regional Healthcare, Orlando, Florida
,
Jose Perez
2   Division of Neonatology, Winnie Palmer Hospital, Orlando Regional Healthcare, Orlando, Florida
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Weitere Informationen

Publikationsverlauf

29. Januar 2013

08. Februar 2013

Publikationsdatum:
19. März 2013 (online)

   Lizenzen und Reprints

Abstract

Objective Describe potential consequences and remedy for not intermittently auscultating fetal heart tones during travel to the imaging department and misdiagnosing a ruptured uterus on ultrasound as a synechiae.

Study Design Retrospective chart review of case.

Results Spontaneous uterine rupture in pregnancy is a rare and catastrophic event. Fetal monitoring is an important component for diagnosis, but fetal heart auscultation is usually discontinued while the patient is receiving imaging. We present a ruptured uterus at 28 weeks with delayed diagnosis secondary to interrupted fetal heart tone auscultation and a misdiagnosis of a rupture as a synechiae resulting in a seriously compromised newborn at delivery.

Conclusion Intermittent fetal heart tone auscultation is a possible method of monitoring when the patient is off continuous fetal monitoring.

Keywords

uterine rupture - third trimester - spontaneous - fetal auscultation
 

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