Introduction
Uterine rupture in pregnancy is rare but has the potential to be
critical for both the mother and fetus.1 Uterine
rupture could lead to intraabdominal bleeding, disseminated
intravascular coagulation (DIC), shock and cardiac arrest, which could
result in maternal death. Cardiac arrest in pregnancy is also rare, and
it is essential to initiate cardiopulmonary resuscitation (CPR),
identify the cause of cardiac arrest and treat its cause as soon as
possible to achieve a favorable outcome.2 Perimortem
cesarean delivery (PMCD) is a rarely performed procedure for patients
after experiencing cardiac arrest during CPR.
Cesarean section, which is usually performed by low transverse uterine
incision, is well known as a risk factor for uterine
rupture.3 A transverse uterine fundal incision is
applied for patients with placenta previa to reduce blood
loss.4 There are few reports of uterine rupture in
pregnant women with previous cesarean section by transverse uterine
fundal incision.5,6 In the present case report, we
describe a case of uterine rupture in a pregnant women with previous
cesarean section by transverse uterine fundal incision who had recovered
from cardiac arrest by CPR and PMCD and survived by multidisciplinary
management. We also reviewed cases of uterine rupture in pregnant women
who underwent previous cesarean section by transverse uterine fundal
incision.