Spontaneous Uterine Rupture in the First Trimester: A Case Report

Park, Young-Joon; Ryu, Ki Young; Lee, Jong-In; Park, Moon-Il

doi:10.3346/jkms.2005.20.6.1079

Cited by 45 publications

(35 citation statements)

References 9 publications

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“…dus and repaired with one layer of suture after suction of gestational material. 7 Singh et al and Kahyaoglu et al previously reported uterine rupture cases with uterine anomaly in the first trimester. 8,9 Tola presented a case at 12 weeks of gestation with bicornuate uterus.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Uterine Rupture with Retroperitoneal Hematoma in the First Trimester: Case Report

Akbaş¹,

Ömeroğlu²,

Birge³

2015

Turkiye Klinikleri J Gynecol Obst

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Section: Discussionmentioning

confidence: 99%

Spontaneous Uterine Rupture with Retroperitoneal Hematoma in the First Trimester: Case Report

Akbaş¹,

Ömeroğlu²,

Birge³

2015

Turkiye Klinikleri J Gynecol Obst

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“…Surgeries of upper segment of uterus like Hysterotomy, classical Caesarean section, myomectomy, previously repaired uterine rupture, metroplasty, and LSCS with inverted T shaped extension are more prone to uterine rupture early during pregnancy and at term. 3 Risk factors for rupture uterus are multiparity, uterotonic drugs, placenta percreta, intrauterine manipulations such as internal podalic version, malpresentation, malposition, multiple pregnancy and perforation of uterus during MTP. Previous surgery on uterus like Caesarean Section, myomectomy, utriculoplasty is a strong risk factor for rupture uterus.…”

Section: Discussionmentioning

confidence: 99%

“…2 It is commonly diagnosed with a history of previous scar on uterus, but rupture of uterus in a primigravida with no risk factors is extremely rare. 3 We report a case of uterine rupture in primigravida who had no history of uterine surgeries. Underlying factor could not be identified.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous uterine rupture in primigravida at 15 weeks

Ghosh

Singh

2017

Int J Reprod Contracept Obstet Gynecol

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This is a very rare and interesting case of primigravida with sonographic evidence of intrauterine pregnancy presenting with acute abdomen at 15 weeks. With the diagnosis of uterine rupture, emergency laparotomy was done. The defect was repaired and post-operative recovery was good. This shows that spontaneous uterine rupture can occur in primigravida and should be kept in mind during diagnosis of acute abdomen.

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“…In terms of treatment, uterine defect was repaired in 50% of the cases (4 cases) and hysterectomy was performed in 3 cases. Maternal outcome was fortunately good in all cases (5,(10)(11)(12)(15)(16)(17) (Table 1). Our patient was the fourth case affected at gestational age of 12 weeks or less.…”

Section: Introductionmentioning

confidence: 96%

Unexpected Rupture of Unscarred Uterus at 12 Weeks of Pregnancy: A Case Report and Literature Review

Vaezi¹

2017

International Journal of Women’s Health and Reproduction Scienc

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IntroductionUterine rupture is an unusual but serious event in pregnancy. Most cases of uterine rupture occur in the second and third trimesters in the scarred uterus (such as previous caesarean section, hysterotomy or myomectomy) (1). The unscarred uterine rupture is an infrequent condition predisposed by multiparity, malpresentation, use of uterotonic drugs (such as oxytocin or prostaglandins), and connective tissue diseases (2). There are some reports regarding uterine rupture in the absence of labor, without any risk factors (3-9). The chief predisposing factor for unscarred uterine rupture is multiparity (3). On the other hand, unscarred uterine rupture in the absence of labor in the first trimester of pregnancy is a very rare phenomenon on which 3 cases were reported (10-12).In this paper, a very rare case of unscarred uterine rupture in the first trimester in the absence of labor is presented where multiparity was the only risk factor. Case PresentationA 34 years old female with a history of vaginal delivery, gravida 2, para 1, and gestational age of 12-13 weeks referred to the emergency room of Tabriz Taleghani hospital. Her chief complain was abdominal pain. She was alert and oriented. She had no fever, chills, nausea, vomiting, vaginal bleeding or signs of delivery. She had no history of surgery, curettage, and abortion. Past medical history was negative. On physical examination, vital signs were stable. Abdominal examination revealed mild tenderness in the right lower quadrant, and cervix was normal and closed in gynecological examination. In laboratory tests, Hb was 10.6 mg/dL The patient was hospitalized and observed. Ultrasound was performed due to persistence and exacerbation of abdominal pain, and showed the intrauterine gestational sac with a live fetus of 12 weeks and 3 days. The amniotic fluid and adnexa were normal, and a lot of free liquid was seen in abdomen and pelvis which was infiltrated into the splenorenal and Morrison's space. Given the possibility of hemoperitoneum, she underwent urgent laparotomy through a midline incision, and there was about 2 L of blood in the abdomen and pelvis. A rupture of about 5 cm was found on the posterior wall of the uterus. Placenta and fetus with intact sac were bulging into the abdomen from the rupture site. There was an active bleeding from uterine rupture. Fetus and placenta were removed completely and the rupture was repaired in three layers of endometrium, myometrium, and perimetrium. The patient received two units of isogroup packed red blood cells and she was discharged on the third day (Figures 1 and 2). AbstractObjectives: Uterine rupture is an infrequent but serious event in pregnancy, which happens commonly in the second and third trimesters in scarred uteruses and labor phases. Uterine rupture during labor is very rare in the absence of scar and occurs mainly in multiparous women. This article introduces a very unusual case of unexpected rupture of an unscarred uterus in the 12th week of gestation. Case Presentation: A 34 year old woman with...

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Spontaneous Uterine Rupture in the First Trimester: A Case Report

Cited by 45 publications

References 9 publications

Spontaneous Uterine Rupture with Retroperitoneal Hematoma in the First Trimester: Case Report

Spontaneous Uterine Rupture with Retroperitoneal Hematoma in the First Trimester: Case Report

Spontaneous uterine rupture in primigravida at 15 weeks

Unexpected Rupture of Unscarred Uterus at 12 Weeks of Pregnancy: A Case Report and Literature Review

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