Traumatic uterine rupture in a queen at early stage of pregnancy


Published: Jan 29, 2018
Keywords:
Pregnancy queen trauma uterine rupture vaginal hemorrhage
V. DE CESARIS
C. BRESCIANI
E. PARMIGIANI
M. RAVERA
A. VOLTA
A. M. CANTONI
E. BIGLIARDI
Abstract

The rupture of a pregnant uterus is a rare complication of pregnancy, which can result in the death of the mother and the fetus. This life threating condition generally occurs during late pregnancy, it can be asymptomatic and scarred uteruses have been reported as incidental findings during abdominal surgery. This clinical case describes a queen with vulvar bleeding during the early stage of pregnancy. Wall laceration of a pregnant uterus was diagnosed by means of an ultrasound examination. During ovariohysterectomy two uterine ruptures, fragments of the great omentum were found sequestering embryonic tissue. Histopathology showed that the uterine wall was torn in the same place where two embryonic implantations were found and residues of embryonic tissue were observed. This clinical case shows that when a traumatic injury is reported, the mandatory abdomen investigations should evaluate the condition of the uterus and determine the early stage of a pregnancy.

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