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Silent uterine rupture, an unusual cause of anhydramnios

Katinka K Teunissen1, Enrico Lopriore, Remco G W Nijman

  • 1Department of Obstetrics, Fetal Medicine Unit, Leiden University Medical Center, Leiden, The Netherlands. a.k.k.teunissen@lumc.nl

American Journal of Obstetrics and Gynecology
|February 20, 2007
PubMed

Anhydramnios is a rather common ultrasound finding, usually caused by ruptured membranes, placental dysfunction, or impaired fetal renal function. We present a case of anhydramnios, resulting from the perforation of a fetal leg through the uterine wall. Neonatal death occurred caused by severe lung hypoplasia. The absence of clinical symptoms strongly suggests a preexisting weak spot in the uterine wall, presumably resulting from an unrecognized perforation at a previous curettage procedure.

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