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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (3): 452-455    DOI: 10.12891/ceog4065.2018
Case Report Previous articles | Next articles
A third-trimester rupture in a scarred uterus: a case report
Ning Hui1, Xiuli Li2, Shujuan Wang2, Yuanguang Meng2, Yuan Gao2, *()
1 Department of Gynecology and Obstetrics, Changhai Hospital, Shanghai, China
2 Department of Gynecology and Obstetrics, Chinese PLA General Hospital, Beijing, China
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Abstract  
Acute abdomen in pregnancy is a diagnostic and therapeutic challenge. Among its causes, uterine rupture complicates a minority of surgical emergencies with severe consequences, but occasionally constitutes an urgent medical situation in those pregnant women with uterine surgery history, especially in the third trimester. The authors present a case with an atypical presentation of uterine rupture occurring at 34+4 weeks of gestation, simultaneously suspected with acute appendicitis. Due to the potentially devastating outcomes and her surgical history of laparoscopic myomectomy, the suspected case was offered surgical emergencies. The authors' aim is to assess whether what they decided has helped to protect both mother and the unborn in this emergency. The risk of previous uterine surgeries for pregnant women, available differential diagnoses, and finer treatment points for this population are all discussed at length.
Key words:  Uterine rupture      Acute abdomen      Late pregnancy      Emergency      Laparoscopic myomectomy      Acute appendicitis     
Published:  10 June 2018     
*Corresponding Author(s):  YUAN GAO     E-mail:  gaoyuan_324@aliyun.com

Cite this article: 

Ning Hui, Xiuli Li, Shujuan Wang, Yuanguang Meng, Yuan Gao. A third-trimester rupture in a scarred uterus: a case report. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 452-455.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4065.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I3/452

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