Abstract 6.  (1)18
 

 

 

Post-Myomectomy Silent Rupture of the Pregnant Uterus

 

B. U. Ezem

 

Department of Obstetrics and Gynaecology

Imo State University Teaching Hospital

 

Abstract:  Ruptured uterus is a dreaded complication of labour often encountered in the third world. Its major causes are cephalopelvic disproportion, scar rupture in injudicious use syntocinon infusion and intra uterine manipulations. Spontaneous rupture of the uterus is uncommon. The case presented in that of a silent rupture, which occurred in the thirty ninth week in a post myomectomy uterus. The uterus was successfully repaired but perinatal death occurred. It is suggested that an elective lower segment caesarean section at 37 weeks be the treatment of choice in post myomectomy pregnancies in which details of the operation are unknown.

Key words: Ruptpure, Uterus, post myomectomy.

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