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Adenomyosis and uterus rupture during labor
C Pafumi1, M Farina, G Pernicone
1Institute of Obstetrics and Gynaecology, University of Catania, Via G. D'Annunzio no. 125, 95127 Catania, Italy. pafumi@mbox.unict.it
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|July 19, 2001
Abstract:
A spontaneous uterus rupture occurred during the labour of a 37-week-pregnant woman showing a precocious rupture of membranes. It appeared enlarged and the cut surface of the myometrium showed coarse trabeculations. The histological examination showed a hypertrophic gravidic myometrium with heterogeneous areas of fibrosis and adenomyosis, necrotic decidual foci and hyperplastic cervical canal glands. Our experience suggests that a silent and spontaneous uterine rupture, is possible even in the absence of the principal risk factors.