[A case of rupture of myomatous uterus in the course of delivery].

A case of rupture of myomatous uterus during term delivery was described. 38-years old women delivered in 41 Hbd of fourth pregnancy. She was after two normal deliveries and one abortion. A 15 cm myoma of uterus was examined during pregnancy. In a course of pregnancy and delivery no abnormalities was detected. The first period of delivery took 2 hours 15 min., the second--30 min. The newborn was fine (Apgar 7, 4180 g, 56 cm). Just after the delivery a huge haemorrhage took place, which lasted in spite of medicines, two abrasions and tampooning of the uterus. The women lost over 2000 ml of the blood and symptoms of haemorrhage shock took place. During laparotomy a cupped uterus with large myoma and complete rupture of the uterus under the myoma was find. A hysterectomy and adnexectomy was performed. 13 days after laparotomy the patient was fine and went home. Histologically a "Ruptura recens parietis colli uteri loco leiomyomata immaturo typi bizzare in utero post partum" was find.