Combined bladder and uterine rupture following prostaglandin‐induced midtrimester abortion: an unreported event

Agarwal, Umber; Nanda, Smiti; Sangwan, Krishna; Singh, R. V.

doi:10.1034/j.1600-0412.2003.00212.x

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Uterine rupture is a potentially catastrophic complication that often results in hysterectomy [ 4 , 6 , 7 ]. Combined uterine and bladder rupture appears to be an even rarer complication based on the paucity of prior case reports [ 8 , 9 ], one that represents a challenging uro-obstetric emergency.…”

Section: Introductionmentioning

confidence: 99%

Combined vesicouterine rupture during second-trimester medical abortion for fetal abnormality after prior cesarean delivery: A case report

Caruso

Paladini

D’Ambrosio

et al. 2021

Case Reports in Women's Health

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Section: Introductionmentioning

confidence: 99%

Combined vesicouterine rupture during second-trimester medical abortion for fetal abnormality after prior cesarean delivery: A case report

Caruso

Paladini

D’Ambrosio

et al. 2021

Case Reports in Women's Health

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Uterine rupture following prostaglandins use in second trimester medical abortion: Fact or fiction? A systematic review

Malvasi,

Tinelli,

Mulone

et al. 2024

Intl J Gynecology & Obste

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BackgroundProstaglandins (PGs) have emerged as key drugs in second trimester medical abortion (STMA) and are currently a cornerstone in obstetric practice. Nevertheless, the application of PGs, integral to labor and abortion procedures, is not risk‐free, and has been associated with several complications, particularly maternal fever and uterine rupture (UR).ObjectivesThe main outcome of the present systematic review was to assess the safety of PGs use in STMA, particularly in scarred uterus (SC).Search StrategyThe review adhered to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guideline. We performed a comprehensive systematic review by searching multiple databases, including MEDLINE, EMBASE, Global Health, The Cochrane Library, Health Technology Assessment Database, and the research registers of Web of Science during the years 1990–2022.Selection CriteriaOnly articles regarding cases of UR occurred after the use of PGs for STMA were included in the article. We excluded papers regarding UR during first trimester abortion induction of labor or pregnancy or unrelated to PGs use for STMA. Risk of bias was assessed employing a modified version of the “Newcastle‐Ottawa Scale” (NOS).Data Collection and AnalysisA total of 178 studies were initially identified as potentially meeting the criteria for inclusion in the review. After full text evaluation, 110 other articles were excluded and 67 studies that suited the inclusion criteria were included. A total of 19 of the included studies were judged to have a high risk of bias. Given the heterogeneous nature of the findings, we opted for a narrative synthesis of the results.Main Results and ConclusionsPGs appear to be an effective pharmacologic tool for STMA; however, their use is not entirely risk‐free. STMA requires well‐equipped obstetric centers with skilled clinicians and surgeons prepared for emergencies. Ultrasonographic scans should be routinely performed during STMA management, since a UR can also be silent during the induction of labor. Intrapartum transabdominal, transperineal, and transvaginal ultrasound may have the diagnostic potential to early recognize this obstetric emergency, to facilitate rapid medical and surgical treatment, improving the outcome.

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Combined bladder and uterine rupture following prostaglandin‐induced midtrimester abortion: an unreported event

Cited by 2 publications

References 6 publications

Combined vesicouterine rupture during second-trimester medical abortion for fetal abnormality after prior cesarean delivery: A case report

Combined vesicouterine rupture during second-trimester medical abortion for fetal abnormality after prior cesarean delivery: A case report

Uterine rupture following prostaglandins use in second trimester medical abortion: Fact or fiction? A systematic review

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