First-trimester uterine rupture: a case report and systematic review of the literature

Uterine rupture in intramural ectopic pregnancy: A case report

“…Researchers have proposed several risk factors such as uterine surgery, including dilation and curettage, cesarean section, myomectomy, adenomyosis, or in vitro fertilization 2,6–8 . Uterine rupture is an uncommon occurrence in the first trimester, and 62% of women with uterine rupture in early pregnancy have had a history of uterine surgery 9 . In our case, the patient had a previous uterine curettage on the 7th day after her first delivery.…”

It Is Not Always an Ectopic or Heterotopic Pregnancy

“…Spontaneous UR in early pregnancy is a rare but serious obstetric complication, especially if associated with a wrong or late diagnosis. Several cases have been reported in the literature [2,[7][8][9][10][11]. The presence of a previous scar in the uterus is a very important risk factor for developing UR [12].…”

“…Our patient’s main complaint was severe abdominal pain. Most patients with UR in early pregnancy present with abdominal pain [ 2 , 11 ]. Though non-specific, patients may describe abdominal pain with a “ripping” sensation in the beginning.…”

“…Our patient had a completely ruptured uterus from the fundus to the isthmus. In the study by Perdue et al, the most common sites for UR were the fundus and the lower segment [ 2 ].…”

“…Early pregnancy UR is rare with several reported cases, but the actual rate of incidence is unclear in the current literature [ 2 ]. The risk of rupture in early pregnancy is increased in multipara with short pregnancy intervals [ 3 ] and in the presence of uterine scars [ 4 ].…”