{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:40:10Z","timestamp":1745764810638,"version":"3.40.4"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 20-year-old primiparous woman who delivered vaginally in a private hospital 5\u2005h ago was referred to our institute as a case of ruptured uterus. She was very pale and tachycardic with well-contracted uterus of 18-week size but had a cervical tear extending up to the left fornix. Examination under anaesthesia showed colporrhexis of posterior vaginal wall with intestines at the site of colporrhexis. Emergency laparotomy confirmed the above findings and also revealed intestinal gangrene involving more than 10\u2005cm. Repair of colporrhexis, cervical tear and resection and anastomosis of small intestines was carried out. She gave a history of administration of five doses of vaginal misoprostal during labour and fundal pressure at the time of delivery. Literature review revealed that vaginal misoprostal can cause overgrowth of clostridial organisms by decreasing the macrophage function and thus can lead to developmental gangrene of reproductive tract and gastrointestinal tract.<\/jats:p>","DOI":"10.1136\/bcr-2012-007005","type":"journal-article","created":{"date-parts":[[2012,10,9]],"date-time":"2012-10-09T12:37:58Z","timestamp":1349786278000},"page":"bcr2012007005","source":"Crossref","is-referenced-by-count":5,"title":["Unusual complication of vaginal delivery: is misoprostal the cause?: Figure\u00a01"],"prefix":"10.1136","volume":"2012","author":[{"given":"Papa","family":"Dasari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haritha","family":"Sagili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gurunandan","family":"Udupi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,10,9]]},"reference":[{"key":"2025042707150042000_2012.oct08_1.bcr2012007005.1","first-page":"818","article-title":"Colporrhexis with a report of a case of spontaneous primary rupture of the posterior vaginal vault during labour","volume":"27","author":"Resnick","year":"1955","journal-title":"S Afr Med J"},{"key":"2025042707150042000_2012.oct08_1.bcr2012007005.2","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/S0002-9378(27)90416-5","volume":"14","author":"Gamble","year":"1927","journal-title":"Am J Obstet Gynecol"},{"key":"2025042707150042000_2012.oct08_1.bcr2012007005.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1932.tb16072.x"},{"key":"2025042707150042000_2012.oct08_1.bcr2012007005.4","first-page":"502","article-title":"A 10\u2005year analysis of uterine rupture in a teaching institution","volume":"56","author":"Sahu","year":"2006","journal-title":"J Obstet Gynaecol India"},{"key":"2025042707150042000_2012.oct08_1.bcr2012007005.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1993.tb15184.x"},{"key":"2025042707150042000_2012.oct08_1.bcr2012007005.6","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-2-238"},{"key":"2025042707150042000_2012.oct08_1.bcr2012007005.7","unstructured":"Khan AS Bakhshi GD Ellur S . 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