Section of Anatomic Pathology, Department of Health Sciences, University of Florence, Florence, Italy.
Department of Health Science, Division of Obstetrics & Gynecology, University of Florence, Florence, Italy.
Pathologica. 2023 Aug;115(4):232-236. doi: 10.32074/1591-951X-882.
The main risk for uterine rupture is the presence of a uterine scar due to prior cesarean delivery or other uterine surgery. However, rupture in an unscarred uterus is extremely rare, and risk factors include multiple gestations, trauma, congenital anomalies, use of uterotonics and placenta accreta spectrum. Placenta accreta spectrum, also known as morbidly adherent placenta, is becoming increasingly common and is associated with significant maternal and neonatal morbidity and mortality. We report a case of unscarred uterine rupture due to placenta percreta in a multiparous woman that required emergency peripartum hysterectomy.
子宫破裂的主要风险是由于先前的剖宫产或其他子宫手术导致的子宫瘢痕。然而，未受损的子宫破裂极为罕见，其危险因素包括多胎妊娠、创伤、先天异常、使用子宫收缩剂和胎盘粘连谱系疾病。胎盘粘连谱系疾病，也称为病态粘连胎盘，正变得越来越常见，并与产妇和新生儿发病率和死亡率显著相关。我们报告了一例多产妇因胎盘植入导致的未受损子宫破裂病例，该病例需要紧急围产期子宫切除术。
