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Case Report
A late presentation of uterine rupture following a vaginal birth after cesarean section (VBAC): A case report
1 MBBS, Senior House Officer, Accident and Emergency Department, Queen Elizabeth Hospital, Barbados
2 MBBS, DM, Emergency Medicine, Senior Registrar, Accident and Emergency Department, Queen Elizabeth Hospital, Barbados
3 MBBS PgCUTL DM (UWI), MSc (Aberd), MRCOG, FACOG, Consultant Obstetrician and Gynaecologist, Queen Elizabeth Hospital, Barbados, Lecturer in Obstetrics and Gynaecology at Faculty of Medical Sciences, University of the West Indies, Cave Hill Campus, Barbados
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Keturah Murray
Queen Elizabeth Hospital, Martindales Road, St. Michael,
Barbados
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Article ID: 100177Z08KM2024
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How to cite this article
Murray K, Drakes K, Best D. A late presentation of uterine rupture following a vaginal birth after cesarean section (VBAC): A case report. J Case Rep Images Obstet Gynecol 2024;10(2):6–12.ABSTRACT
Over the past 30 years, rates of cesarean section (CS) delivery have increased significantly. According to the World Health Organization (WHO), cesarean section rates have risen from around 7% worldwide in 1990, to 21% in 2021. As a result, physicians are more likely to encounter patients who have opted to undergo vaginal birth after cesarean section (VBAC). Uterine rupture is a rare but potentially life-threatening complication of VBAC. It typically has an acute intrapartum presentation, with abdominal pain, vaginal bleeding, and abnormal cardiotocography; however, there have been a few reported cases occurring postpartum.
Here, we present a case of a 31-year-old woman seen at the emergency department of the Queen Elizabeth Hospital, Barbados, who was found to have a uterine rupture following a VBAC. She had no acute intrapartum signs of rupture, but rather, presented with symptoms consistent with generalized peritonitis and bowel obstruction three days following delivery. She ultimately underwent a laparotomy with repair of the rupture and had an uncomplicated recovery.
Keywords: Labor, Postpartum, Uterine rupture, VBAC
SUPPORTING INFORMATION
Author Contributions
Keturah Murray - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Keisha Drakes - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Damian Best - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Keturah Murray et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
