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Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
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Second trimester rupture uterus, unusual presentation.

Shereen Ibrahim1, Stefanie Drymiotou1, Khadiga Hegab2

  • 1North Middlesex University Hospital, Obstetrics and Gynaecology Department, UK.

Annals of Medicine and Surgery (2012)
|January 11, 2021
PubMed
Summary
This summary is machine-generated.

Spontaneous uterine rupture in early pregnancy is rare, particularly without prior surgery. Prompt diagnosis and surgical repair are vital for successful management of this life-threatening obstetric emergency.

Keywords:
DiagnosisFetusHemoglobinHemostasisMDT managementSecond trimesterSpontaneous uterine rupture

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Spontaneous uterine rupture before labor is exceptionally rare, especially in the second trimester.
  • This obstetric emergency is even rarer in women with no history of uterine surgery.

Observation:

  • A 32-year-old multiparous woman presented with abdominal pain, hypotension, and tachycardia at 16 weeks gestation.
  • Ultrasound revealed a live fetus, hemoperitoneum, and free fluid. Emergency laparotomy confirmed uterine fundal rupture with a 2L hemoperitoneum.

Findings:

  • The patient underwent successful surgical repair of the uterine rupture.
  • A previous uterine curettage scar and abnormal placentation were postulated as contributing factors.

Implications:

  • A high index of suspicion is crucial for diagnosing spontaneous uterine rupture, even in early pregnancy.
  • Rapid diagnosis using imaging and immediate surgical intervention are critical for successful management and maternal survival.