Silent uterine rupture, an unusual cause of anhydramnios.

Teunissen, Katinka K; Lopriore, Enrico; Nijman, Remco G W; Brouwer, Patrick A; van Kamp, Inge L · Am J Obstet Gynecol · 2007

case_report · Level V

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Abstract

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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