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Uterine rupture

MedGen UID:
22592
Concept ID:
C0042143
Finding; Pathologic Function
Synonyms: Rupture, Uterine; Ruptures, Uterine; Uterine Rupture; Uterine Ruptures
SNOMED CT: Rupture of uterus (34430009); Uterine rupture (34430009)
 
HPO: HP:0100718

Definition

The complete, nonsurgical disruption of all layers of the uterus. [from NCI]

Conditions with this feature

Ehlers-Danlos syndrome, type 4
MedGen UID:
82790
Concept ID:
C0268338
Disease or Syndrome
Vascular Ehlers-Danlos syndrome (vEDS) is characterized by arterial, intestinal, and/or uterine fragility; thin, translucent skin; easy bruising; characteristic facial appearance (thin vermilion of the lips, micrognathia, narrow nose, prominent eyes); and an aged appearance to the extremities, particularly the hands. Vascular dissection or rupture, gastrointestinal perforation, or organ rupture are the presenting signs in most adults with vEDS. Arterial rupture may be preceded by aneurysm, arteriovenous fistulae, or dissection but also may occur spontaneously. The majority (60%) of individuals with vEDS who are diagnosed before age 18 years are identified because of a positive family history. Neonates may present with clubfoot, hip dislocation, limb deficiency, and/or amniotic bands. Approximately half of children tested for vEDS in the absence of a positive family history present with a major complication at an average age of 11 years. Four minor diagnostic features – distal joint hypermobility, easy bruising, thin skin, and clubfeet – are most often present in those children ascertained without a major complication.

Professional guidelines

PubMed

Greco PS, Day LJ, Pearlman MD
Obstet Gynecol 2019 Dec;134(6):1343-1357. doi: 10.1097/AOG.0000000000003585. PMID: 31764749
Kremer TG, Ghiorzi IB, Dibi RP
Rev Assoc Med Bras (1992) 2019 Jun 3;65(5):714-721. doi: 10.1590/1806-9282.65.5.714. PMID: 31166450
Tanos V, Toney ZA
Best Pract Res Clin Obstet Gynaecol 2019 Aug;59:115-131. Epub 2019 Feb 10 doi: 10.1016/j.bpobgyn.2019.01.009. PMID: 30837118

Recent clinical studies

Etiology

Al-Zirqi I, Vangen S
BJOG 2020 Dec;127(13):1637-1644. Epub 2020 Jul 16 doi: 10.1111/1471-0528.16363. PMID: 32534459
Tanos V, Toney ZA
Best Pract Res Clin Obstet Gynaecol 2019 Aug;59:115-131. Epub 2019 Feb 10 doi: 10.1016/j.bpobgyn.2019.01.009. PMID: 30837118
Mirza FG, Gaddipati S
Semin Perinatol 2009 Apr;33(2):97-103. doi: 10.1053/j.semperi.2009.01.003. PMID: 19324238
Turner MJ
Best Pract Res Clin Obstet Gynaecol 2002 Feb;16(1):69-79. doi: 10.1053/beog.2001.0256. PMID: 11866498
Varner M
Crit Care Clin 1991 Oct;7(4):883-97. PMID: 1747807

Diagnosis

Rottenstreich M, Rotem R, Hirsch A, Farkash R, Rottenstreich A, Samueloff A, Sela HY
J Matern Fetal Neonatal Med 2021 Mar;34(5):708-713. Epub 2019 May 15 doi: 10.1080/14767058.2019.1613366. PMID: 31032683
Al-Zirqi I, Vangen S
BJOG 2020 Dec;127(13):1637-1644. Epub 2020 Jul 16 doi: 10.1111/1471-0528.16363. PMID: 32534459
Habeš D, Střecha M, Kalousek I, Kestřánek J
Ceska Gynekol 2019 Summer;84(5):345-350. PMID: 31826631
Tanos V, Toney ZA
Best Pract Res Clin Obstet Gynaecol 2019 Aug;59:115-131. Epub 2019 Feb 10 doi: 10.1016/j.bpobgyn.2019.01.009. PMID: 30837118
Varner M
Crit Care Clin 1991 Oct;7(4):883-97. PMID: 1747807

Therapy

Finucane EM, Murphy DJ, Biesty LM, Gyte GM, Cotter AM, Ryan EM, Boulvain M, Devane D
Cochrane Database Syst Rev 2020 Feb 27;2(2):CD000451. doi: 10.1002/14651858.CD000451.pub3. PMID: 32103497Free PMC Article
Tanos V, Toney ZA
Best Pract Res Clin Obstet Gynaecol 2019 Aug;59:115-131. Epub 2019 Feb 10 doi: 10.1016/j.bpobgyn.2019.01.009. PMID: 30837118
Calì G, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteaugudo A, Buca D, Forlani F, Familiari A, Scambia G, Acharya G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Feb;51(2):169-175. doi: 10.1002/uog.17568. PMID: 28661021
Gonzalez N, Tulandi T
J Minim Invasive Gynecol 2017 Jul-Aug;24(5):731-738. Epub 2017 Mar 6 doi: 10.1016/j.jmig.2017.02.020. PMID: 28268103
Guise JM, Eden K, Emeis C, Denman MA, Marshall N, Fu RR, Janik R, Nygren P, Walker M, McDonagh M
Evid Rep Technol Assess (Full Rep) 2010 Mar;(191):1-397. PMID: 20629481Free PMC Article

Prognosis

Mazza GR, Youssefzadeh AC, Klar M, Kunze M, Matsuzaki S, Mandelbaum RS, Ouzounian JG, Matsuo K
JAMA Netw Open 2022 Nov 1;5(11):e2242842. doi: 10.1001/jamanetworkopen.2022.42842. PMID: 36399343Free PMC Article
Leone Roberti Maggiore U, Inversetti A, Schimberni M, Viganò P, Giorgione V, Candiani M
Fertil Steril 2017 Dec;108(6):895-912. doi: 10.1016/j.fertnstert.2017.10.035. PMID: 29202964
Dasgupta S
J Indian Med Assoc 1995 Feb;93(2):55-7. PMID: 7658038
Varner M
Crit Care Clin 1991 Oct;7(4):883-97. PMID: 1747807
Phelan JP
Clin Obstet Gynecol 1990 Sep;33(3):432-7. doi: 10.1097/00003081-199009000-00007. PMID: 2225574

Clinical prediction guides

McLeish SF, Murchison AB, Smith DM, Ghahremani T, Johnson IM, Magann EF
Obstet Gynecol Surv 2023 May;78(5):302-308. doi: 10.1097/OGX.0000000000001143. PMID: 37263964
Trojano G, Damiani GR, Olivieri C, Villa M, Malvasi A, Alfonso R, Loverro M, Cicinelli E
Acta Biomed 2019 Sep 6;90(3):300-309. doi: 10.23750/abm.v90i3.7623. PMID: 31580319Free PMC Article
Tanos V, Toney ZA
Best Pract Res Clin Obstet Gynaecol 2019 Aug;59:115-131. Epub 2019 Feb 10 doi: 10.1016/j.bpobgyn.2019.01.009. PMID: 30837118
Calì G, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteaugudo A, Buca D, Forlani F, Familiari A, Scambia G, Acharya G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Feb;51(2):169-175. doi: 10.1002/uog.17568. PMID: 28661021
Sentilhes L, Vayssière C, Beucher G, Deneux-Tharaux C, Deruelle P, Diemunsch P, Gallot D, Haumonté JB, Heimann S, Kayem G, Lopez E, Parant O, Schmitz T, Sellier Y, Rozenberg P, d'Ercole C
Eur J Obstet Gynecol Reprod Biol 2013 Sep;170(1):25-32. Epub 2013 Jun 28 doi: 10.1016/j.ejogrb.2013.05.015. PMID: 23810846

Recent systematic reviews

Polin M, Hur HC
J Minim Invasive Gynecol 2022 Jun;29(6):709-715. Epub 2022 Feb 2 doi: 10.1016/j.jmig.2022.01.015. PMID: 35123041
Ende HB, Lozada MJ, Chestnut DH, Osmundson SS, Walden RL, Shotwell MS, Bauchat JR
Obstet Gynecol 2021 Feb 1;137(2):305-323. doi: 10.1097/AOG.0000000000004228. PMID: 33417319Free PMC Article
Finucane EM, Murphy DJ, Biesty LM, Gyte GM, Cotter AM, Ryan EM, Boulvain M, Devane D
Cochrane Database Syst Rev 2020 Feb 27;2(2):CD000451. doi: 10.1002/14651858.CD000451.pub3. PMID: 32103497Free PMC Article
Calì G, Timor-Tritsch IE, Palacios-Jaraquemada J, Monteaugudo A, Buca D, Forlani F, Familiari A, Scambia G, Acharya G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Feb;51(2):169-175. doi: 10.1002/uog.17568. PMID: 28661021
Gonzalez N, Tulandi T
J Minim Invasive Gynecol 2017 Jul-Aug;24(5):731-738. Epub 2017 Mar 6 doi: 10.1016/j.jmig.2017.02.020. PMID: 28268103

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