Uterine Anomaly. Esra Nur Tola* Unscarred uterine rupture (UUR) is a rare event that usually occurs in late pregnancy or during labour. Fit For Free, Utrecht (stad) (Utrecht). likes. Fitnesscentrum in Utrecht. Fitness al vanaf €11,99 per maand!. ‘I с) Planet explicatîo nominis, quam Simonis дине, vpcem СОШ— poñlam effe „ пуп; aes et “С! draw f. fer/Jans, utiLa uur’ ‘гати ferpcns amc-ns d’ictus Пс. \_ 4.

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Differential diagnoses are bleeding corpus luteum, heterotropic or ectopic pregnancy, and molar pregnancy with secondary invasion [ 4 ]. American Journal of Obstetrics and Gynecology.

Placenta percreta with spontaneous rupture of an unscarred uterus in the second trimester. Rupture of the uterus in a primigravida: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, wsra the original work is properly cited. In our case, UUR occurred in the twelfth week of pregnancy.

Early surgical intervention is usually the key to successful treatment of UR. Emergency laparotomy confirmed a spontaneous uterine rupture. Obstetrical and Gynecological Survey. Singh A, Jain S.

Uur İle Esra (@uuresra) • Instagram photos and videos

In our case, uterine anomaly may be implicated in the UR, because the patient had a bicornuate uterus, and there were iur other obvious risk factors. Rupture of a pregnant uterus is one of the life-threatening complications associated with obstetric practice [ 1 ].

UUR during pregnancy, especially before the end of the second trimester, occurs relatively rarely and is associated with high mortality and morbidity for both the fetus and mother. The most relevant differential diagnosis is ectopic pregnancy [ 6 ].

Journal of Obstetrics and Gynaecology.

Clinical signs of UR in early pregnancy are nonspecific and must be distinguished from acute abdominal emergencies. Uterine anomaly is a risk factor for spontaneous uterine rupture in the early pregnancy. UUR is a rare, life-threatening complication during pregnancy, with an incidence rate of 1: UUR usually occurs in the lower segment the weakest part of uterus [ 13 ].


First and early second trimester UURs are very rare, and there are only a few cases in literature describing first and early second trimester UURs [ 4 — 7 ]. We present a case of spontaneous uterine rupture at 12 weeks of gestation in year-old multigravida who had uterine anomaly presenting as an acute abdomen. For this reason the patient must be counselled on the need to undergo a Cesarean section in all future pregnancies.

Plasenta percreata—two cases and review of the era. Her first pregnancy resulted in abortus at 8 gestational weeks, but no surgical procedure was performed. In our case, our initial diagnosis was ectopic pregnancy, and we performed emergency laparotomy after judging that laparoscopic instrumentation was deficient and because of the unstable vital signs of the patient. Ultrasound examination revealed a uuur consistent, fetal heartbeat negative pregnancy in the left tuboovarian area and free fluid in the Douglas pouch.

An emergency laparoscopy or laparotomy is needed for the correct diagnosis and to enable the necessary treatment to take place.

Spontaneous uterine rupture of an unscarred uterus before labour. Journal of Clinical and Diagnostic Research.

Acta Obstetricia et Gynecologica Scandinavica. Sometimes ultrasound has limited value and urgent surgery is necessary to prevent catastrophic sequelae. Other risk factors for UUR include abnormal placentation, uterine anomalies, obstetric manoeuvres, malpresentations, excessive uterine expressions, curettage, injudicious use of oxytocin, uterine diverticula [ 8 ], and chronic corticosteroid use [ 3 ], whereas some cases have no obvious cause [ 9 ].

First Trimester Spontaneous Uterine Rupture in a Young Woman with Uterine Anomaly

The author declares that there is no conflict of interests regarding the publication of this paper. In our case we performed uterine suture without tubal ligation because our patient had no previous children. Unscarred uterine rupture UUR is a rare event that usually occurs in late pregnancy or during labour.

Unscarred uterine rupture SUUR: Spontaneous uterine hur in the first trimester of pregnancy.

First Trimester Spontaneous Uterine Rupture in a Young Woman with Uterine Anomaly

Support Center Support Center. National Center for Biotechnology InformationU. Conclusion In conclusion, UUR in early pregnancy is a rare and potentially catastrophic event. Spontaneous rupture of unscarred uterus at 27 weeks of gestation.


A few cases of UUR in the early trimester with no previous risk factors [ 57 ] and as uuur result of placenta percreta, have been reported [ 1112 ]. UR is usually observed in association with uterine scarring either in late pregnancy or during labour uru 4 ]. Introduction Rupture of a pregnant uterus is one of the life-threatening complications associated with obstetric practice [ 1 ]. Uterine anomalies are one of the reasons for spontaneous unscarred uterine rupture in early pregnancy.

Treatment will primarily depend on the extent of the lesion, the parity, age and condition of the patient, and expertise of the surgeon. The patient was counselled on the need to be delivered by elective Cesarean section in subsequent pregnancies. Case Rep Obstet Gynecol. The patient’s postoperative recovery was uneventful and she was discharged on her third postoperative day.

Published online Jan Fundal uterine rupture in the left part of the bicornuate uterus. There are several risk factors associated with uterine rupture URbut the most common is a previous Cesarean section.

Risk factors for UUR include high parity, placental abnormalities, and uterine anomaly. The products of conception were removed, and uterine repair was performed with a size of 1 vicryl suture. If the rupture part is the fundus, as in our case, the diagnosis is often delayed because the haemorrhage is not revealed immediately, as blood collects in the intraperitoneal space [ 13 ]. A essra woman was admitted to our department with 3-month amenorrhea and sudden, severe, generalized abdominal pain and vaginal uu of 2-hour duration.

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