Introduction
Spontaneous uterine rupture in the first trimester is a redoubtable obstetric emergency that carries a high risk for both mother and fetus.
Cases presentation
We present the case of a spontaneous uterine rupture in a patient with a scarred uterus at 9 weeks' gestation treated by laparotomy in emergency obstetrical department of Ibn Rochd University Hospital of Casablanca; whose histological examination of the removed material found a partial mole.
Clinical discussion
Spontaneous uterine rupture in the first trimester is rare and usually occurs in a scarred or malformed uterus. Clinicians should consider this diagnosis in the presence of an acute abdominal pain in early pregnancy with or without first trimester metrorrhagia.
Conclusion
Since the rate of uterine surgeries is increasing, it is necessary to highlight the risk of uterine rupture occurring early in order to improve their management. Molar pregnancy is a factor of fragility of the uterine wall and uterine rupture must be suspected in any molar pregnancy associated with a hemoperitoneum.
L'inversion utérine non puerpérale chronique est une situation clinique extrêmement rare, 85% des inversions sont puerpérales exposant l'accouchée au risque d'hémorragie de la délivrance cataclysmique. Nous rapportons le cas d'une patiente de 70 ans qui s'est présentée en consultation pour prolapsus uro-génital du 3
ème
degré, une hystérectomie totale sans conservation annexielle a été réalisée par un double abord: voie vaginale complétée par une laparotomie mettant en évidence une inversion utérine à contenu annexielle bilatérale. La voie abdominale a permis en plus d'une bonne exposition chirurgicale, l'exclusion d'un contenu digestif ou urinaire pris dans l'inversion avant la réalisation de l'hystérectomie. Bien que rare et de diagnostic difficile, l'inversion utérine non puerpérale aiguë est une urgence médico-chirurgicale.
The diagnosis of placenta accreta is not as rare as it used to be, its incidence is clearly increasing and it is correlated with the Caesarean sections rate.
This pathology is responsible for a significant maternal morbidity and mortality although it could be preventable with prenatal diagnosis and a good medical and surgical management.
The aim of this work is to describe the behavior adopted in front of a Placenta Accreta diagnosed in a Moroccan maternity level 3 over a period of six years.
The objective of this descriptive retrospective study is to provide epidemiological results concerning the evolution of this obstetric pathology in recent years and to detect the various complications that may arise.
Noted that no significant series of this pathology has been reported in Morocco.
Highlights
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