Uterine Rupture with Evisceration of Intestines through the Vagina during Labour

Ubong Akpan; Chinyere Akpanika; Victor Nwagbara; Udeme Asibong; Saturday Etuk

doi:10.1155/2019/5234641

Uterine Rupture with Evisceration of Intestines through the Vagina during Labour

Case Rep Obstet Gynecol. 2019 Dec 11:2019:5234641. doi: 10.1155/2019/5234641. eCollection 2019.

Authors

Ubong Akpan¹, Chinyere Akpanika¹, Victor Nwagbara², Udeme Asibong³, Saturday Etuk¹

Affiliations

¹ Department of Obstetrics and Gynaecology, University of Calabar, Calabar, Nigeria.
² Department of General Surgery, University of Calabar, Calabar, Nigeria.
³ Department of Family Medicine, University of Calabar, Calabar, Nigeria.

Abstract

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.

Publication types

Case Reports