Intrapartum uterine rupture associated with a scarred cervix because of a previous rupture of cystic cervical endometriosis

Zoe H Y Chen, Ming Chen, Horng-Der Tsai, Horng‐Der Tsai, Cheng-Hsuan Wu
Taiwanese journal of obstetrics & gynecology · 2011 · vol. 50(1) , pp. 95–97 · doi:10.1016/j.tjog.2009.05.001 · PMID:21482382 · W2033627601
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This paper describes a rare case of intrapartum uterine rupture occurring through a cervical scar from a previously ruptured cystic endometriosis lesion.

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Abstract

Endometriosis is defined as the growth of ectopic endometrial tissue beyond the uterine cavity. The incidence of endometriosis has been reported to range from 4% to 17% in all women of reproductive age. The most commonly reported presentations of endometriosis are dysmenorrhea, dyspareunia, pelvic pain, and infertility. Most endometrial deposits are confined to the pelvis but extrapelvic endometriosis has also been occasionally documented in the literature [1]. Cervical endometriosis is an uncommon and generally asymptomatic condition. We report an extremely rare case of intrapartum uterine rupture through the scar of the previously ruptured cystic cervical endometriosis. A 33-year-old nulliparous woman visited our clinic in 2003 because of lower abdominal pain. She had a history of laparoscopic cystectomy because of bilateral ovarian endometriomas in 2000. Dysmenorrhea recurred 2 years after the operation. Transvaginal sonography at our clinic revealed a homogeneous cyst measuring approximately 3 cm 4 cm over the posterior endocervix (Fig. 1). Abdominal sonography showed a fluidfilled cervical cyst. The patient presented at our emergency department a few hours after her initial visit to our clinic because of lower abdominal pain and persistent vaginal bleeding. She denied having undergone sexual intercourse or trauma before the vaginal bleeding began. Speculum examination revealed a ruptured cystic lesion approximately 2 cm 2 cm with active bleeding over the posterior lip of the cervix (5-o’clock direction) near the vaginocervical junction without extending to the external orifice of the cervix. Chocolate-like fluid also flowed out from the wound, and cervical endometriosis was suspected. We removed the fragile cyst wall

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Condition tags

endometriosisdysmenorrheadyspareuniainfertility

MeSH descriptors

Cervix Uteri Endometriosis Endometriosis Uterine Rupture Uterine Rupture Adult Cervix Uteri Cervix Uteri Cicatrix Cicatrix Cicatrix Cicatrix Endometriosis Endometriosis Female Humans Pregnancy Ultrasonography Uterine Rupture Uterine Rupture

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (17)

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