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Spontaneous Uterine Rupture

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Acute Abdomen During Pregnancy

Abstract

In James Dowling Trask’s (1821–1883, one of the founders of the American Gynecologic Society) monograph on rupture of the uterus, 303 cases are recorded from 1700 to 1848; of these, only 38 are classified as ruptures during pregnancy, the others being cases of rupture during labor. On a careful examination of the notes in each of these 38 cases, it appears that the number must be considerably reduced – first, elimination of cases where the evidence that they were really cases of rupture of the uterus and not some other condition, for instance, abdominal extrauterine pregnancy and, second, by removing those cases which were really cases of premature labor, the pregnancy having advanced nearly to term. When this reduction has been made, there remain 14 cases [1]. Lustgarten quoted one case in the British and Foreign Medico-Chirurgical Review, one in the Glasgow Medical Journal in 1861, and 17 cases by Lewers in 1887 [2]. Nevertheless, in 1903, Baisch was able to record 37 instances of nontraumatic uterine rupture which occurred in the first 6 months of pregnancy [3].

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  1. Department of Surgery Division of Gastrointestinal Surgery, University Hospital Center Zagreb, Zagreb, Croatia

    Goran Augustin MD, PhD

  2. School of Medicine University of Zagreb, Zagreb, Croatia

    Goran Augustin MD, PhD

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Augustin, G. (2014). Spontaneous Uterine Rupture. In: Acute Abdomen During Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-319-05422-3_16

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