An uterine rupture case (Case report)

A patient, applied The Emergency Section of Şişli Etfal Hospital 2nd Obstetric & Gynecology Clinic having bad general condition. She was 27 years old. It was noticed that a baby who didn't have fetal heart heat and was cyanotic, expulsed from vulva with breech presentation to na­dir margin of shoulder. First diagnosis were breech labor, hydrocephalus and decolman placenta. After vaginal examination, USG and clinical were taken the patients interned. Bipedal diameter was 150 mm and hydro­-cephalus with decolman placenta were seen at abdominal USG. it was concluded to perform laparotonýy rapidly because of the general condition of patient
Urgently, the patient operated and sectio cesarean perfor­med. The head of the baby was perforated. A helper delivered the girl baby, 48 cm height 2500 gr weight, vaginally when laparatomy applied, uterine rupture noticed immediatedly because of the bad general condition of patient and bleeding disorder. Cesarean hysterectomy performed. No complication occurred and the paýient charged from hospital with cure 7 days after the operation.
In literature, the incidence of uterine rupture is estimated I 1 per 2000 to 2500 pregnancies at western countries. There is no sufficient data for our country. Uterine rupture still keep on one of the most fearful complication in perinatal period. Because perinatal mortality rate can rise up to 50%.

Bir Olgu Nedeniyle Uterus Rüptürlerinin İrdelenmesi (Olgu Sunumu)

Şişli Etfal Hastanesi 2. Kadýn Doðum Acil Polikliniği'ne genel durumu kötü olarak başvuran 27 yaşýndaki hastada, vulvada makadi yolla omuz sýnýrýna kadar doðmuş, siyanotik, FKA'sý olmayan bebek tesbit edilmiştir. Yapýlan vaginal muayene, USG ve klinik bulgularýyla makadi doğum+ hidrosefali + dekolman plasenta ön tanýsý alarak interne edildi. Abdominal USG'de BPD 150 mm ve hidrosefali ile dekolman saptandý. Hastanýn genel durumu da göz önüne alýnarak acil laparatomiye alýndý.
Acilen operasyona alýnan hastaya seksiyo sezaryen uygulandý. Baş perfore edildi. Bir yardýmcý ile vaginal yolla 49 cm, 2500 gr kýz bebek doðurtuldu. Yapýlan laparotomide uterin rüptür tespit edildi. Genel durum, kanama problemi göz önüne alýnarak sezaryen histerktomi uygulandý. Herhangi bir problemi gelişmeyen hasta postoperatif 7. günde şifa ile taburcu edildi.
Literatürde batý toplumlarýndaki uterus küptürü insidansý­nýn, 1/2 000 ila 2500 gebelik arasýnda olduðu tahmin edilmektedir. Ülkemizde bu konuda yeterli veri yoktur. Maternal mortalite %50’lere kadar çýkabildiðinden uterus rüptürü en korkulan obstetrik komplikasyonlardan biri olmaya devam etmektedir.