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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 338:821-826 March 19, 1998 Number 12
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Case 9-1998— Cardiovascular Collapse after Vaginal Delivery in a Patient with a History of Cesarean Section
Michael F. Greene, Drucilla J. Roberts, and Eugene J. Mark

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Presentation of Case

A 38-year-old woman (gravida 5, para 1) was admitted to another hospital in spontaneous labor.

The patient's first pregnancy, six years earlier, had ended successfully at 36 weeks' gestation. A low transverse cesarean section was performed because of a breech presentation, and a uterine leiomyoma was resected. Subsequently, the patient had three spontaneous abortions in the first trimester. The most recent abortion occurred a year before admission, at six weeks' gestation. An ultrasonographic examination showed a nonviable fetus and a leiomyoma, 5 cm in diameter, adjacent to the gestational sac. A suction dilation and curettage was performed without complications.

With . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Michael F. Greene's Diagnoses

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References


Related Letters:

Case 9-1998: Uterine Rupture
Weiss R. R., Murray T. M., Vázquez F. V., Greene M. F., Mark E. J., Roberts D. J.
Extract | Full Text  
N Engl J Med 1998; 339:268-269, Jul 23, 1998. Correspondence

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