A patient from Angers had an unusual pregnancy: her baby’s legs were emerging from her uterus. A rare case, published in the New England Journal of Medicine
On scanners, we see it: a pair of legs protruding from the uterus. The case is very rare, and equally impressive. the New England Journal of Medine echoes this unusual pregnancy, taken care of at the University Hospital of Angers and commented by the doctor in the columns of the Washington post.
Contrary to what one might think, “a badly placed kick is not responsible”, explains Dr. Pierre-Emmanuel Bouet to the American newspaper. After the surprise of the MRI, the team realized that the mother’s uterine wall had failed to completely cover the fetus. This is due to the history of this patient who had undergone five cesarean sections and whose uterus had retained some form of rigidity.
Over the course of the pregnancy, this stiffness caused a tear in the uterine wall, indicated on the MRI by arrows. The case is very rare, it is the 27e of the history of obstetric gynecology.
Another unusual fact is that the patient has remained asymptomatic, while women who experience uterine ruptures experience severe pain due to internal bleeding.
But “the umbilical hernia compressed the edges of the uterine tear, and had a haemostatic effect,” adds the doctor. On top of that, the fetus’ legs “plugged” the tear, so there was no blood loss.
The baby, born by cesarean section and premature, is doing very well today.