| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
OBSTETRICS |
From the Department of Obstetrics and Gynecology, University of Washington Medical Center, Seattle, Washington.
Address reprint requests to: Sarah Marcus, MD, Department of Obstetrics and Gynecology, University of Washington Medical Center, Box 356460, Seattle, WA 98195-6460, E-mail: smarcus{at}u.washington.edu
Background: Cesarean scar rupture of a gravid uterus in early gestation is rare.
Case: A 38-year-old woman, gravida 4, para 2-0-1-1, presented at 13 weeks’ gestation with cramping and spotting. She had a history of two cesareans. Ultrasound and magnetic resonance imaging indicated probable uterine dehiscence and a viable extrauterine pregnancy. After embolization of the uterine arteries with subsequent fetal death, the subject had a hysterectomy. Intraoperatively, she had complete rupture of the lower uterine segment, but the pregnancy was enclosed within scar tissue between the uterus and bladder. Placenta percreta was found by histologic examination.
Conclusion: Women with histories of cesareans might be at risk of early uterine rupture.
This article has been cited by other articles:
|
|
 |
|
  D. A. McKenna, L. Poder, M. Goldman, and R. B. Goldstein Role of Sonography in the Recognition, Assessment, and Treatment of Cesarean Scar Ectopic Pregnancies J. Ultrasound Med., May 1, 2008; 27(5): 779 - 783. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. M. Naim, S. Ahmad, H. H. Siraj, P. Ng, Z. A. Mahdy, and Z. R. M. Razi Advanced Abdominal Pregnancy Resulting From Late Uterine Rupture Obstet. Gynecol., February 1, 2008; 111(2): 502 - 504. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. G. Holland and J. L. Bienstock Recurrent Ectopic Pregnancy in a Cesarean Scar Obstet. Gynecol., February 1, 2008; 111(2): 541 - 545. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H C Teng, G Kumar, and N M Ramli A viable secondary intra-abdominal pregnancy resulting from rupture of uterine scar: role of MRI Br. J. Radiol., July 1, 2007; 80(955): e134 - e136. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Rotas, S. Haberman, and M. Levgur Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet. Gynecol., June 1, 2006; 107(6): 1373 - 1381. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Graesslin, F. Dedecker Jr, C. Quereux, and R. Gabriel Conservative Treatment of Ectopic Pregnancy in a Cesarean Scar Obstet. Gynecol., April 1, 2005; 105(4): 869 - 871. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Imbar, A. Bloom, F. Ushakov, and S. Yagel Uterine Artery Embolization to Control Hemorrhage After Termination of Pregnancy Implanted in a Cesarean Delivery Scar J. Ultrasound Med., October 1, 2003; 22(10): 1111 - 1115. [Full Text] [PDF]
|
|
|
|
 |
|
 L.J. Salomon, H. Fernandez, A. Chauveaud, S. Doumerc, and R. Frydman Successful management of a heterotopic Caesarean scar pregnancy: potassium chloride injection with preservation of the intrauterine gestation: Case report Hum. Reprod., January 1, 2003; 18(1): 189 - 191. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
