{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:10:05Z","timestamp":1756372205807,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:title\/>\n               <jats:p>We describe a rare case report of unscarred uterus rupture (UR) diagnosed in the puerperium after a vacuum extraction (VE) delivery of a healthy newborn. In this instance, no risk factors were found apart from the use of VE in the setting of prolonged deceleration. The suspicion of the diagnosis was made because of the patient's constant distressing abdominal pain with peritoneal signs as well as a drop in haemoglobin. In the exploratory laparotomy, a 2000\u2005ml haemoperitoneum and a complete transverse tear of the uterine fundus 10\u2005cm long was found in a structurally normal uterus. Peritoneal lavage was effected and the tear was repaired. A very high index of suspicion is needed and the longer the delay in making the diagnosis, and starting treatment, the greater the clinical risk. Since the risk of UR in subsequent pregnancies is very high, caesarean delivery is recommended in any future pregnancy, after fetal pulmonary maturity is confirmed.<\/jats:p>","DOI":"10.1136\/bcr-2012-006372","type":"journal-article","created":{"date-parts":[[2012,8,22]],"date-time":"2012-08-22T06:28:54Z","timestamp":1345616934000},"page":"bcr2012006372","source":"Crossref","is-referenced-by-count":5,"title":["Rupture of an unscarred uterus diagnosed in the puerperium: a rare occurrence"],"prefix":"10.1136","volume":"2012","author":[{"given":"Joana","family":"Faria","sequence":"first","affiliation":[{"name":"1Department of Gynecology\/Obstetrics, Dona Estef\u00e2nia Hospital CHLC-EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9lia","family":"Henriques","sequence":"additional","affiliation":[{"name":"2Department of Internal Medicine 2, Curry Cabral Hospital, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria do Carmo","family":"Silva","sequence":"additional","affiliation":[{"name":"1Department of Gynecology\/Obstetrics, Dona Estef\u00e2nia Hospital CHLC-EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Mira","sequence":"additional","affiliation":[{"name":"1Department of Gynecology\/Obstetrics, Dona Estef\u00e2nia Hospital CHLC-EPE, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,8,22]]},"reference":[{"key":"2025082801501572000_2012.aug21_1.bcr2012006372.1","unstructured":"Smith JF Wax JR . Rupture of the unscarred uterus. In: UpToDate, Lockwood, CJ (Ed), UpToDate. Waltham, MA, 2012."},{"key":"2025082801501572000_2012.aug21_1.bcr2012006372.2","doi-asserted-by":"publisher","DOI":"10.1053\/beog.2001.0256"},{"key":"2025082801501572000_2012.aug21_1.bcr2012006372.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2007.11.008"},{"key":"2025082801501572000_2012.aug21_1.bcr2012006372.4","first-page":"233","article-title":"Rupture of the uterus in a primigravida: a case report","volume":"13","author":"Chigbu","year":"2010","journal-title":"Niger J Clin Pract"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006372","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:50:23Z","timestamp":1756371023000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006372"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,22]]},"references-count":4,"alternative-id":["10.1136\/bcr-2012-006372"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006372","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,8,22]]}}}