Uterine Rupture with Evisceration of Intestines through the Vagina during Labour

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Updated: Dec 31, 2025

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Ubong Akpan1, Chinyere Akpanika1, Victor Nwagbara2

  • 1Department of Obstetrics and Gynaecology, University of Calabar, Calabar, Nigeria.

Case Reports in Obstetrics and Gynecology
|January 14, 2020
PubMed

Uterine rupture is a life threatening obstetric emergency and is associated with high maternal and perinatal mortality. There are some risk factors associated with uterine rupture which may include: prolonged obstructed labour, previous scarred uterus, grand-multiparity, macrosomic baby, abnormal lie, instrumental delivery, induction of labour, oxytocin stimulation and excessive uterine manipulation. Its modes of presentation have been widely reported. Here, we present a case with an unusual mode of presentation where about two-third of the small intestines protruded through the vagina following some manipulations by an unskilled birth attendant. This highlights the fact that when uterine rupture is suspected, the cord-like structure protruding per vaginum may not always be umbilical cord.

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