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Spontaneous Complete Uterine Rupture in a Nonlaboring, Early Third-trimester Uterus: Missed Diagnosis by Ultrasound
- Source :
- American Journal of Perinatology Reports, Vol 03, Iss 02, Pp 079-082 (2013)
- Publication Year :
- 2013
- Publisher :
- Thieme Medical Publishers, Inc., 2013.
-
Abstract
- 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.
Details
- Language :
- English
- ISSN :
- 21576998, 21577005, and 00331341
- Volume :
- 03
- Issue :
- 02
- Database :
- Directory of Open Access Journals
- Journal :
- American Journal of Perinatology Reports
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.f0233635be4490fb7326905ca8c7f11
- Document Type :
- article
- Full Text :
- https://doi.org/10.1055/s-0033-1341575