CC BY-NC-ND 4.0 · AJP Rep 2024; 14(03): e231-e234
DOI: 10.1055/a-2413-2722
Case Report

Early Challenges: A Case Report of a Premature Baby with Down Syndrome and Uterine Rupture

Bilel Jerbi
1   Department of Community Medicine A, Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia
,
Hajer Chourou
2   Neonatal Intensive Care Unit, Center of Maternity and Neonatology of Tunis, University Tunis El Manar, Tunis, Tunisia
,
Rim Ben Aziza
2   Neonatal Intensive Care Unit, Center of Maternity and Neonatology of Tunis, University Tunis El Manar, Tunis, Tunisia
,
Wafa Belhadj Ammar
2   Neonatal Intensive Care Unit, Center of Maternity and Neonatology of Tunis, University Tunis El Manar, Tunis, Tunisia
,
Samia Kacem
2   Neonatal Intensive Care Unit, Center of Maternity and Neonatology of Tunis, University Tunis El Manar, Tunis, Tunisia
,
Radhouane Achour
3   Department of Emergency, Center of Maternity and Neonatology of Tunis, University Tunis El Manar, Tunis, Tunisia
› Author Affiliations

Abstract

Introduction Uterine rupture represents one of the most severe obstetric affections. It is defined as a complete or a partial tearing of the uterine wall. Women with a prior cesarean section are reported to have a higher risk of having this situation. Moreover, maternal death and most of all middle- and long-term adverse consequences remain a great preoccupation. On another scale, neonatal death and ulterior deterioration remain very high, especially in low-income countries.

Case Description A 24-year-old woman with a history of previous cesarean section presented at 35 weeks of gestation with pelvic pain without bleeding. Emergency cesarean section revealed a complete uterine rupture at the scar site from the previous cesarean section. Remarkably, the fetus managed to seal the rupture using the right temporal region, forearm, and right leg, avoiding significant complications. The mother had an uncomplicated postoperative course and was discharged after 48 hours of surveillance.

Conclusion We present with this case an extraordinary case of a uterine rupture where both mother and child had a good outcome. This rare evolution was reported only one time in literature. For this reason, a history of caesarean delivery might present a huge challenge for obstetricians and neonates.

Declarations

Written informed consent was obtained from both parents.


Consent for Publication

Written informed consent for publication was obtained from both parents.


Availability of Data and Materials

The data sets used during the current study are available from the corresponding author on reasonable request.


Competing Interests

The authors declare that they have no competing interests.




Publication History

Received: 08 August 2024

Accepted: 20 August 2024

Accepted Manuscript online:
11 September 2024

Article published online:
30 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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