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Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 293-298

Expectant management of an asymptomatic complete uterine rupture presenting as a herniated amniotic sac

1 Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Nigeria
2 Department of Obstetrics and Gynaecology, 063, Nigeria Air Force Hospital, Bill Clinton Road, Nigeria
3 Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital; Faculty of Clinical Sciences, University of Abuja, Nigeria

Correspondence Address:
Dr. Anthony Dennis Isah
Department of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja/University of Abuja
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/amhs.amhs_77_21

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When there is a defect in the uterine wall, it serves as a weakness through which the fetal membrane may herniate into abdominal cavity during pregnancy. This may manifest as either a silent (partial) or complete uterine rupture. Any silent (partial) uterine rupture has a potential of becoming complete. When a uterine rupture becomes complete, it may lead to acute life-threatening complications to both the mother and her fetus. As of today, there seems to be no consensus as to whether to manage silent or complete uterine rupture expectantly or surgically, including repair of the uterine wall or termination of the pregnancy, especially when this happens in the early second trimester, especially in Nigeria where the age of viability is still 28 weeks of gestation.

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