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Uterine Dehiscence During Initiation of Spinal Anesthesia for Cesarean Delivery

Tiong, Eng MBBS*; Shammas, Nasreen MBCHB, FRANZCOG*; Ben-Menachem, Erez MBCHB, FANZCA, FCICM

doi: 10.1097/ACC.0b013e31829847bd
Case Reports: Case Report

Uterine dehiscence is a known but uncommon complication during pregnancy. The symptoms of uterine dehiscence can be subclinical and usually occur during prolonged augmented labor in women who had previous cesarean delivery and/or are carrying a macrosomic baby. It can be associated with maternal and fetal hemodynamic compromise and complications. However, to our knowledge, spontaneous uterine dehiscence during performance of spinal anesthesia for an elective cesarean delivery has not been reported in obstetric anesthesia practice. Here, we report a case of uterine dehiscence while subarachnoid block was being performed.

From the *Department of Anaesthesia, Fairfield Hospital; and Department of Anaesthesia, Fairfield Hospital and St Vincent’s Hospital, Sydney, New South Wales, Australia.

Accepted for publication March 27, 2013.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Erez Ben-Menachem, MBCHB, FANZCA, FCICM, Department of Anaesthesia, Liverpool and St Vincent’s Hospitals, 390 Victoria St., Darlinghurst, NSW 2010, Australia. Address e-mail to erezben@yahoo.com.

© 2013 International Anesthesia Research Society
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