Primary repair of cornual rupture occurring at 21 weeks gestation and successful pregnancy outcome

Hum Reprod. 1999 Jul;14(7):1894-5. doi: 10.1093/humrep/14.7.1894.


The successful delivery in a 31 year old woman at 33 weeks gestation is reported, after repair to a cornual rupture which occurred at 21 weeks gestation. The patient exhibited acute abdominal pain and pending shock. Emergency laparotomy showed a cornual rupture and an intrauterine vital fetus having intact amnion membrane. On the patient's family's insistence, primary repair for a cornual rupture was performed and preservation of the fetus attempted. Postoperatively, tocolytic agent with ritodrine hydrochloride was administered and close follow-up of the patient was uneventful. The patient had a smooth obstetric course until 33 weeks gestation when premature rupture of the membranes occurred, soon followed by the onset of labour. She underwent an elective Caesarean section and delivered a normal male fetus weighing 2140 g with Apgar scores at 1, 5 and 10 min of 6, 8, and 9 respectively. Because of this successful outcome, we suggest that primary repair for such an unusual patient should be accepted.

Publication types

  • Case Reports

MeSH terms

  • Abdomen, Acute / etiology
  • Abdomen, Acute / surgery
  • Adult
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Male
  • Pregnancy
  • Pregnancy Outcome
  • Rupture, Spontaneous / complications
  • Rupture, Spontaneous / pathology
  • Rupture, Spontaneous / surgery
  • Uterine Rupture / complications
  • Uterine Rupture / pathology
  • Uterine Rupture / surgery*