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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (2): 333-334    DOI: 10.12891/ceog4605.2019
Case Report Previous articles | Next articles
Uterine rupture in twin pregnancy complicated with herniation of amniotic sac and umbilical cord: a case report
Erqiu Du1, Yongmei Li2, *(), Li Shang2, Yongli Chen2, Xia Gao2, Xueying Duan2
1Department of Obstetrics and Gynecology, Taizhou General Hospital, (Taizhou University Hospital), Taizhou, Zhejiang, China
2Department of Obstetrics and Gynecology, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China;
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Abstract  

The typical symptom of complete uterine rupture is continuous pain in lower abdomen. The prognosis of a complete uterine rupture is poor. However, twin pregnancy with asymptomatic uterine rupture leading to two live fetuses are rare. The authors report a case of a 41-year-old asymptomatic woman with twin pregnancy (gravida 4, para 1) who presented with a large herniation of the amniotic sac through the left uterine horn that was detected by ultrasonography at 26 +5 weeks of gestation. After comprehensive counseling and under close observation, the patient chose to proceed with her pregnancy and extend the pregnancy to 28 +5 weeks gestation. Scarred uterine is the most common risk factor of uterine rupture during pregnancy. The typical symptom of complete uterine rupture is continuous pain in lower abdomen. However, there is no characteristic presentation in uterine rupture. Ultrasound and MRI are all important supplementary means to diagnose the uterine rupture. Therefore, obstetrician should pay more attention to the patients who have the related history or are suspected uterine rupture during pregnancy.

Key words:  Uterine rupture      Twin pregnancies      Obstetrics      Pregnancy     
Published:  10 April 2019     
*Corresponding Author(s):  YONGMEI LI     E-mail:  yuqiudu@163.com

Cite this article: 

Erqiu Du, Yongmei Li, Li Shang, Yongli Chen, Xia Gao, Xueying Duan. Uterine rupture in twin pregnancy complicated with herniation of amniotic sac and umbilical cord: a case report. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 333-334.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4605.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I2/333

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