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Spontaneous symphysis pubis rupture followed by intraabdominal bleeding during the vaginal delivery
Authors: K. Kubínová 1; K. Kudrna 2; J. Mašata 1; Z. Hájek 1
Authors‘ workplace: Gynekologicko-porodnická klinika VFN a 1. LF UK, přednosta prof. MUDr. A. Martan, DrSc. 1; I. chirurgická klinika hrudní, břišní a úrazové chirurgie VFN a 1. LF UK, přednosta doc. MUDr. J. Šváb, CSc. 2
Published in: Ceska Gynekol 2009; 74(1): 64-66
Overview
Symphysis pubis rupture is rare but life-threatening complication of vaginal delivery. Prompt diagnosis and therapy of this complication is crucial. We present a case report of a patient with a symphysis pubis rupture followed by severe intraabdominal bleeding. The therapy of symphysis pubis rupture is usually conservative according to the available sources. In the case of our patient osteosynthesis was performed with an excellent result.
Key words:
symphysis, pubis rupture, vaginal delivery.
Sources
1. Cappiello, GA., Oliver. BC. Rupture of symphysis pubis caused by forceful and excessive abduction of the thighs with labor epidural anesthesia. J Fla Med Assoc, 1995, 82, 4, p. 261-263.
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3. Dunbar, RP., Ries, AM. Puerperal diastasis of the pubic symphysis. A case report. J Reprod Med, 2002, 47, 7, p. 581-583.
4. Jain, N., Sternberg, LB. Symphyseal separation. Obstet Gynecol, 2005, 105, 5 Pt 2, p. 1229-1232.
5. Karantanis, E., Fynes, MM., Thum, MY., et al. Symphyseal diastasis and vestibular rupture during spontaneous vaginal delivery. BJOG, 2003, 110, 6, p. 630-632.
6. Kharrazi, FD., Rodgers, WB., Kennedy, JG., Lhowe, DW. Partuition-induced pelvic dislocation: A report of four cases. J Ortop Trauma, 1997, 4, p. 277-281.
7. Phupong, V., Sudjai, D.Vaginal delivery with intrapartum pubic symphysis separation. A case report. J Reprod Med, 2003, 48, 4, p. 296-298.
8. Rommens, PM. Internal fixation in postpartum symphysis pubis rupture: Report of three cases. J Ortop Trauma, 1997, 11, 4, p. 273-276.
9. Senechal, PK. Symphysis pubis separation during childbirth. JABFP, 1995, 7, 2, p. 141-143.
10. Taylor, NR., Sonson, RD. Separation of the pubic symphysis: An underrecognised paripartum complication. J Reprod Med, 1986, 31, 3, p. 203-206.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Article was published inCzech Gynaecology
2009 Issue 1-
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