Histopathic Uterine Laceration, Cervix, Vaginal and Bladder Ruptures in a Multiparous Woman During Impetuous Labor

BACKGROUND Uterine lacerations are rare but one of the hardest and most dangerous obstetric aftereffects for life of a woman and a baby. Uterine sidewall altered by a scar after caesarean section or laparoscopic myomectomy is recognized as the leading cause of uterine rupture. In turn, histopathic laceration of the uterus during labor, associated with rupture of adjacent organs in a woman with a history of normal childbirth, seems casuistic and deserves discussion.

THE AIM OF THE STUDY To present a clinical case of non-operated uterine laceration of a multiparous woman in impetuous labor.

MATERIAL AND METHODS A multiparous woman, 35 years old, with histopathic uterine laceration, ruptures of cervix, vagina, and bladder with conization of the cervix in anamnesis in impetuous labor.

RESULTS The article describes a clinical observation of histopathic uterine laceration in labor.

CONCLUSION A favorable outcome with an organ-preserving surgery in case of histopathic uterine laceration is possible only if the diagnosis of the complication is done timely, and high-quality surgical treatment is carried out within a short space of time. The uterus after the history of cervical conization must be treated as carefully – due to its possible rupture – as the uterus altered by a scar after surgical interventions. Manual examination immediately after impetuous labor with a third-degree cervical rupture would allow for timely diagnosis of uterine laceration, prevention of blood loss and the performance of organ-preserving surgical intervention.

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