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Rupture of an unscarred uterus in a woman with long-term steroid treatment for systemic lupus erythematosus

Title
 Rupture of an unscarred uterus in a woman with long-term steroid treatment for systemic lupus erythematosus
Authors
 Joseph J. Noh; Cheol-Ho Park; Ja-Young Kwon; Mi-Hyun Jo
Issue Date
2013
Journal Title
 Obstetrics and Gynecology
ISSN
 0029-7844
Citation
 Obstetrics and Gynecology, Vol.122(2 PART2) : 472~475, 2013
Abstract
BACKGROUND: Unscarred uterine rupture in association with systemic lupus erythematosus (SLE) and long-term steroid treatment is rare. CASE: A 36-year-old primigravid woman conceived a twin gestation after in vitro fertilization therapy. At 23 weeks of gestation, she was found to have a spontaneous rupture of the uterus. Her medical history was significant for SLE for a duration of 19 years, and her condition had been maintained with prednisolone. She had no history of uterine scarring or other known risk factors for uterine rupture. The uterine fundus was the main location of the rupture and a subtotal hysterectomy was performed. CONCLUSION: Long-term treatment with systemic steroids and SLE may increase the risk of spontaneous rupture of an unscarred uterus.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87581
DOI
10.1097/AOG.0b013e3182998fb6
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Obstetrics & Gynecology
Yonsei Authors
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Link
 http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006250-201308002-00015&LSLINK=80&D=ovft
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