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Human Reproduction, Vol. 14, No. 7, 1894-1895, July 1999
© 1999 European Society of Human Reproduction and Embryology

Primary repair of cornual rupture occurring at 21 weeks gestation and successful pregnancy outcome: Case report

Peng-Hui Wang1, Hsiang-Tai Chao, Loy-Lan Too and Chiou-Chung Yuan

Department of Obstetrics and Gynecology, Veterans General Hospital-Taipei and National Yang-Ming University, 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan

The successful delivery in a 31 year old woman at 33 weeks gestation is reported, after repair to a cornual rupture which occurred at 21 weeks gestation. The patient exhibited acute abdominal pain and pending shock. Emergency laparotomy showed a cornual rupture and an intrauterine vital fetus having intact amnion membrane. On the patient's family's insistence, primary repair for a cornual rupture was performed and preservation of the fetus attempted. Postoperatively, tocolytic agent with ritodrine hydrochloride was administered and close follow-up of the patient was uneventful. The patient had a smooth obstetric course until 33 weeks gestation when premature rupture of the membranes occurred, soon followed by the onset of labour. She underwent an elective Caesarean section and delivered a normal male fetus weighing 2140 g with Apgar scores at 1, 5 and 10 min of 6, 8, and 9 respectively. Because of this successful outcome, we suggest that primary repair for such an unusual patient should be accepted.

Key words: cornual rupture/pregnant/primary repair

1 To whom correspondence should be addressed


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P.-H. Wang, C.-C. Yuan, H.-T. Chao, M.-J. Yang, and H.-T. Ng
Posterior uterine wall rupture during labour: Case report
Hum. Reprod., May 1, 2000; 15(5): 1198 - 1199.
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