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Second trimester uterine rupture in a septated unscarred uterus: a case report study |
C. Theofanakis1, *( ), L. Michala1, A. Karampelas1, S.N. Al-Achmar1, G. Daskalakis1 |
1 Department of Obstetrics & Gynecology, Alexandra Hospital, University of Athens, Athens, Greece |
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Abstract
Introduction: Uterine rupture in the second trimester before the onset of labor is a rare condition that can lead to high maternal morbidity and fatal fetal outcome. Case Report: The authors report a case of spontaneous uterine rupture in a 35-year-old woman at the 16th week of a twin gestation, after IVF. She presented with intraperitoneal haemorrhage, maternal collapse, fetal demise, and required immediate surgical management. Conclusions: Uterine rupture in a primigravid uterus is a rare but life-threatening situation. Studies have shown that the unscarred uterus is not immune to such an event. Even though it is not a common complication, it should always be considered in primigravid women presenting with abdominal pain, hemodynamic instability, and indications of fetal demise.
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Published: 10 August 2018
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*Corresponding Author(s):
C. THEOFANAKIS
E-mail: charalampostheofanakis@yahoo.com
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