Abstract

VARGAS-GARCIA, Avelin; REYNA-VILLASMIL, Eduardo  and  RONDON-TAPIA, Marta. Intraperitoneal prolapse of the amniotic sac: A case report. Rev. peru. ginecol. obstet. [online]. 2018, vol.64, n.2, pp.259-262. ISSN 2304-5132.  http://dx.doi.org/https://doi.org/10.31403/rpgo.v64i2087.

Uterine rupture is an obstetric emergency that can have catastrophic results. Intraperitoneal prolapse of the amniotic sac, also known as amniocele, is a unique initial manifestation of silent or complete uterine rupture during pregnancy. It can occur as a result of preexisting injury, uterine abnormalities or alterations in uterine scarring. Ultrasound plays an important role in the diagnosis of this condition: it is essential for the management of these patients and optimizes maternal and perinatal outcome. We present the case of a 22-year-old patient with acute abdominal pain at 34 weeks' gestation. Ultrasound showed a viable fetus inside the amniotic cavity along with oligohydramnios and an echogenic cystic lesion of 8 x 6 centimeters. Doppler and tridimensional ultrasound confirmed the diagnosis as intraperitoneal prolapse of the amniotic sac through a uterine rupture. During cesarean section, a 1-centimeter uterine defect was identified on the lateral side of the uterus, which confirmed the diagnosis. There were no postoperative complications and the patient recovered completely.

Keywords : Intraperitoneal prolapse of the amniotic sac; Amniocele; Uterine rupture; Ultrasound; Pregnancy.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )