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

Perdue, Makenzie L.; Felder, Laura; Berghella, Vincenzo

doi:10.1016/j.ajog.2022.04.035

Cited by 7 publications

(8 citation statements)

References 47 publications

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“…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.…”

Section: Discussionmentioning

confidence: 76%

Uterine rupture in intramural ectopic pregnancy: A case report

Washio

Komatsu

Tomimoto

et al. 2023

Asian J Endoscop Surgery

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Intramural pregnancy is a rare form of ectopic pregnancy. It is defined by a gestation within the uterine wall, completely surrounded by myometrium and separated from the uterine cavity and the fallopian tube. We report a rare case of intramural ectopic pregnancy. If a patient has a history of intrauterine surgery or myomectomy, the possibility of intramural pregnancy, although rare, should not be ruled out.

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Section: Discussionmentioning

confidence: 76%

Uterine rupture in intramural ectopic pregnancy: A case report

Washio

Komatsu

Tomimoto

et al. 2023

Asian J Endoscop Surgery

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“…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].…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Discussionmentioning

confidence: 99%

“…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 ].…”

Section: Discussionmentioning

confidence: 99%

“…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 ].…”

Section: Introductionmentioning

confidence: 99%

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It Is Not Always an Ectopic or Heterotopic Pregnancy

Mohamed¹,

Awadalla²,

Nawaz³

2023

Cureus

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Uterine rupture is a life-threatening peripartum complication. Spontaneous uterine rupture in early pregnancy is very rare. The diagnosis of uterine rupture should be considered when a pregnant patient presents with an acute abdomen because its clinical signs in early pregnancy are non-specific and the differentiation with other acute abdominal emergencies is challenging. Here, we present a case of acute abdominal pain. The patient was a 14-week pregnant 39-year-old female (gravida 4, para 2+1) with a history of two lower-segment cesarean sections. Our preoperative diagnosis was either heterotopic pregnancy or acute abdomen. Emergency laparotomy confirmed the presence of a spontaneous uterine rupture.

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Spontane Uterusruptur in der 9. SSW

Reinhardt¹,

Barrot²,

Zentgraf³

2023

Geburtshilfe Frauenheilkd

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Die Uterusruptur ist eine der gefürchtetsten Komplikationen eines jeden Geburtshelfers. Sie tritt meist gegen Ende der Schwangerschaft unter der Geburt auf. Risikofaktor ist vor allem eine vorangegangene Sectio caesarea. Eine Uterusruptur am wehenlosen Uterus in der Frühschwangerschaft ist eine Rarität: Dieser Fall soll sensibilisieren, auch bei Schwangeren in der Frühgravidität an diese seltene Komplikation zu denken. ▶ Abb. 1 MRT-Aufnahme des Abdomens und kleinen Beckens: Uterus mit Diskontinuität. ▶ Abb. 2 a Sonografie des Uterus. Es zeigt sich die intakte Fruchthöhle mit Embryo bei Kontinuitätsunterbrechung der Uterusvorderwand. b Doppler-Sonografie des Uterus. Dargestellt ist die vitale intrauterine Einlingsgravidität. Mit * ist die ausgezogene Fruchthöhle gekennzeichnet. GebFra Magazin | Der interessante Fall Dieses Dokument wurde zum persönlichen Gebrauch heruntergeladen. Vervielfältigung nur mit Zustimmung des Verlages.

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

Cited by 7 publications

References 47 publications

Uterine rupture in intramural ectopic pregnancy: A case report

Uterine rupture in intramural ectopic pregnancy: A case report

It Is Not Always an Ectopic or Heterotopic Pregnancy

Spontane Uterusruptur in der 9. SSW

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