{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:12:00Z","timestamp":1790241120547,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The B\u2010Lynch suture, designed to control severe postpartum hemorrhage by compressing the uterus, is effective in reducing maternal mortality rates. However, it can lead to complications such as infection and uterine necrosis. This report presents a rare case of asymptomatic uterine rupture in a subsequent pregnancy following a B\u2010Lynch suture. A woman in her mid\u201030s, gravida 3, para 2, presented at 32\u2009weeks gestation in labor and underwent a repeat caesarean section. During delivery and visualization of the uterus, a 3\u2010cm uterine rent was incidentally discovered near the site of the previous B\u2010Lynch suture at the posterior aspect of the uterus. On review of prior medical reports provided by the patient, it was noted that the B\u2010Lynch procedure was previously performed using Polydioxanone sutures rather than traditional absorbable sutures and was deemed a potential contributor to this presentation. This case emphasizes the importance of appropriate suture materials and techniques when performing a B\u2010Lynch suture and presents a less commonly known potential long\u2010term effect and complication. Further, obstetricians should be wary in subsequent pregnancies of the potential for uterine rents and aim to carefully visualize the previous suture site intraoperatively, regardless of symptomatology.<\/jats:p>","DOI":"10.1002\/ccr3.71053","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T03:08:49Z","timestamp":1759201729000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Asymptomatic Uterine Rupture in a Pregnancy Following B\u2010Lynch Suture Application in a Previous Delivery: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6555-2469","authenticated-orcid":false,"given":"Kareem","family":"Omran","sequence":"first","affiliation":[{"name":"Faculty of Life Sciences &amp; Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyia","family":"Mathew","sequence":"additional","affiliation":[{"name":"Obstetrics &amp; Gynaecology Al Qassimi Women's and Children's Hospital  Sharjah UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maha","family":"Shahin","sequence":"additional","affiliation":[{"name":"Obstetrics &amp; Gynaecology Medcare Hospital Sharjah  Sharjah UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Omran","sequence":"additional","affiliation":[{"name":"Obstetrics &amp; Gynaecology Al Qassimi Women's and Children's Hospital  Sharjah UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage","author":"World Health Organization","year":"2012"},{"key":"e_1_2_10_3_1","first-page":"325","article-title":"The V\u2010Lynch Surgical Technique for the Control of Massive Postpartum Haemorrhage: An Alternative to Hysterectomy? Five Cases Reported","volume":"104","author":"B\u2010Lynch C.","year":"1997","journal-title":"British Journal of Obstetrics and Gynaecology"},{"key":"e_1_2_10_4_1","volume-title":"StatPearls","author":"Wormer K. C.","year":"2022"},{"key":"e_1_2_10_5_1","volume-title":"WHO Recommendations: Uterotonics for the Prevention of Postpartum Haemorrhage","author":"WHO Guidelines Approved by the Guidelines Review Committee","year":"2018"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1636520"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcma.2011.04.004"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb11471.x"},{"issue":"11","key":"e_1_2_10_9_1","article-title":"Obstetric and Maternal Outcomes After B\u2010Lynch Compression Sutures: A Meta\u2010Analysis","volume":"14","author":"Nalini N.","year":"2022","journal-title":"Cureus"},{"issue":"4","key":"e_1_2_10_10_1","first-page":"148","article-title":"Technical Description of the B\u2010Lynch Brace Suture for Treatment of Massive Postpartum Hemorrhage and Review of Published Cases","volume":"50","author":"Price N.","year":"2005","journal-title":"International Journal of Fertility and Women's Medicine"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0000000000000273"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2017.1416333"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.35006"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-012-0277-y"},{"issue":"3","key":"e_1_2_10_15_1","first-page":"146","article-title":"Advances in Suture Material for Obstetric and Gynecologic Surgery","volume":"2","author":"Greenberg J. A.","year":"2009","journal-title":"Reviews in Obstetrics & Gynecology"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12546"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2237-3"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71053","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71053","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71053","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:52:42Z","timestamp":1790239962000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71053"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,29]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/ccr3.71053"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71053","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,29]]},"assertion":[{"value":"2025-04-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71053"}}