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A Rare Case of 2nd Trimester Uertine Rupture – A Case Report

Lakshmipriya K, Kalaivani and Rani .

Abstract


Uterine rupture is a rare life-threatening complication. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. Here we report a case of 33 years, G3P2L2 / Previous 2 LSCS/ gestational age being 17 weeks 3 days, presented with    complaints of loose stools and vomiting, patient vital signs being stable. Ultrasound revealed extra-uterine pregnancy with live fetus, suggestive of abdominal pregnancy. Emergency laparotomy revealed rupture uterus, uterus given away at previous suture site, placenta invading uterine     serosa, gestational sac with dead fetus being found lying outside uterus. Hysterectomy proceeded in view of rupture uterus with placenta increta.


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References


American College of Obstetricians and Gynecologists, 2009. Induction of Labor. ACOG Practice Bulletin No. 107. Obstet Gynecol 114:386-97.

American College of Obstetricians and Gynecologists, 2004. Vaginal birth after previous cesarean. ACOG Practice Bulletin No. 54. Obstet Gynecol Jul; 104(1):203-12.

Bujold E, Bujold C, Hamilton EF et al. 2002. The impact of a single-layer or double-layer closure on uterine rupture. Am J Obstet Gynecol 186:1326.

Chatterjee SR, Bhaduri S. 2007. Clinical analysis of 40 cases of uterine ruptureat Durgapur Sub-divisional Hospital: An observational study. J Indian Med Assoc 105:510

Chauhan SP, Martin Jr JN, Henrichs CE et al. 2003. Maternal and perinatal complications with uterine rupture in 142, 075 patients who attempted vaginal birth after caesarean delivery: a review of the literature. Am K Obstet Gynecol 189:408.

Goyal V. 2009. Uterine rupture in second-trimester misprostol-induced abortion after caesarean delivery: A systematic review. Obstet Gynecol 113;(5):1117-23.

Smith JF, Wax JR. Rupture of the unscarred uterus [Internet]. [Place of publication unknown]: UpToDate; 2013 [cited 2013 Aug 22]. Available from: www.uptodate.com.

Arbab F, Boulieu D, Bied V, Payan F, Lornage J, Guerin JF. Uterine rupture in first or second trimester of pregnancy after in-vitro fertilization and embryo transfer. Hum Reprod. 1996;11(5):1120–1122.

Park YJ, Ryu KY, Lee JI, Park M. Spontaneous Uterine Rupture in the First Trimester: A case Report. J Korean Med Sci. 2005;20(6):1079–1081.

Schrinsky DC, Benson RC. Rupture of the pregnant uterus: a review. Obstet Gynecol Surv. 1978;33(4): 217–232


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