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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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Singh and Jain and Kahyaoglu et al.

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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.

Plasenta percreata—two cases and review of the literature. Discussion UUR is a rare, life-threatening complication during pregnancy, with an incidence rate of 1: Spontaneous rupture of unscarred uterus in early pregnancy—a rare entity. American Journal of Perinatology.

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 ]. Journal of Clinical and Diagnostic Research. Spontaneous uterine rupture in early pregnancy is very rare complication and it occurs usually in scarred uterus. 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.

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In our case, uterine anomaly may be implicated in the UR, because the patient had a bicornuate uterus, and there were no other obvious risk factors.

Ultrasound examination revealed a week consistent, fetal heartbeat negative pregnancy in the left tuboovarian area and free fluid in the Douglas pouch. Clinical signs of uterine rupture in early pregnancy are nonspecific and must be distinguished from acute abdominal emergencies.

Author information Article notes Copyright and License information Disclaimer. Archives of Gynecology and Obstetrics. Obstetricians must consider this diagnosis when a pregnant patient presented with acute abdomen in early pregnancy.

The current case highlights uterine anomaly as a risk factor for spontaneous UR in the first trimester of pregnancy. Obstetrical and Gynecological Survey. Clinical signs of UR in ewra pregnancy are nonspecific and must be distinguished from acute abdominal emergencies.

There are several risk factors associated with uterine rupture URbut the most common is a previous Cesarean section. Her first pregnancy resulted in abortus at 8 gestational weeks, but no surgical procedure was performed. Rupture of the uterus in a primigravida: The most relevant differential diagnosis is ectopic pregnancy ur 6 ]. Uterine anomalies are one of the reasons esrra UUR. National Center for Biotechnology InformationU. Received Oct 3; Accepted Nov Early correct diagnosis and proper management are necessary to decrease the high maternal and fetal mortality and morbidity rates associated with UR.

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Case Report A year-old woman was admitted to our department with 3-month amenorrhea and sudden, severe, generalized abdominal pain and vaginal bleeding of 2-hour duration. Introduction Rupture of a pregnant uterus is one of the life-threatening complications associated with obstetric practice [ 1 ]. A year-old woman was admitted to our department with 3-month amenorrhea and sudden, severe, generalized abdominal pain and vaginal bleeding of 2-hour duration.

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

Sometimes ultrasound has limited value and urgent surgery is necessary to prevent catastrophic sequelae. Risk factors for UUR include high parity, placental abnormalities, and uterine anomaly.

Support Center Support Center. Differential diagnoses are bleeding corpus luteum, heterotropic or ectopic pregnancy, and molar pregnancy with secondary invasion [ 4 ]. The author declares that there is no conflict of interests regarding the publication of this paper.

Spontaneous uterine rupture in the first trimester of pregnancy.

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

Uterine anomaly is a risk factor for spontaneous uterine rupture in the early pregnancy. Open in a separate window. Treatment will primarily depend on the extent of the lesion, the parity, age and condition of the patient, and ewra of the surgeon.