Recurrent spontaneous uterine rupture during the third trimester in a woman with history of laparoscopic cornual resection and cervical dysplasia.

Lee, Gyong Mi; Jang, Hang Yong; Chang, Sung Woon; Jong, Sang Hee; Moon, Myung Jin; Kim, Young Ran; Ahn, Eun Hee

doi:2012.55.12.973

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(12):973-977.
DOI: https://doi.org/10.5468/KJOG.2012.55.12.973 Published online December 18, 2012.

Recurrent spontaneous uterine rupture during the third trimester in a woman with history of laparoscopic cornual resection and cervical dysplasia.

Gyong Mi Lee, Hang Yong Jang, Sung Woon Chang, Sang Hee Jong, Myung Jin Moon, Young Ran Kim, Eun Hee Ahn

Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. bestob@cha.ac.kr

Abstract

Uterine rupture during the course of pregnancy is an uncommon obstetric event. Rupture of an unscarred uterus is rare, whereas rupture of a scarred uterus is more common and is usually the result of a Cesarean section. Uterine rupture during pregnancy usually occurs in patient with a scarred uterus, and recurrent uterine rupture usually occurs at a prior ruptured site. However, recurrent uterine rupture that occurs at a different site, regardless of prior rupture site, has yet to be reported. The patient described in this case report had cervical dysplasia with positive for human papilloma virus (HPV) type 16. As the presence of a precancerous lesion in the cervix is reported to increase the risk of preterm birth and spontaneous uterine rupture, a possible correlation between recurrent uterine rupture and cervical dysplasia was considered for this patient.

Key Words: Recurrent uterine rupture, Cornual pregnancy, Cervical dysplasia