Amniotic Sac Herniation Through a Prior Cornual Scar in The Third Trimester

Abstract Introduction Uterine rupture occurs in less than 0.1% of pregnancies. This complication can be detrimental to mother and fetus if not detected and managed in a timely manner. We report an unusual presentation of uterine scar rupture that was diagnosed on ultrasound in a complet...

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Main Authors: Antonio F. Saad, Maged M. Costantine, George Saade, Michel Makhlouf
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2015-04-01
Series:American Journal of Perinatology Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1549296
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author Antonio F. Saad
Maged M. Costantine
George Saade
Michel Makhlouf
author_facet Antonio F. Saad
Maged M. Costantine
George Saade
Michel Makhlouf
author_sort Antonio F. Saad
collection DOAJ
description Abstract Introduction Uterine rupture occurs in less than 0.1% of pregnancies. This complication can be detrimental to mother and fetus if not detected and managed in a timely manner. We report an unusual presentation of uterine scar rupture that was diagnosed on ultrasound in a completely stable patient with reassuring fetal status. Case Report A 24-year-old Gravida 5, Para 3 with history of cornual resection for ectopic pregnancy and two previous uterine ruptures presented at 30 weeks' gestation with worsening abdominal pain. Ultrasound identified herniation of the amniotic sac with fetal parts. The patient underwent cesarean delivery and cornual defect repair. Conclusion Close observation and early delivery remain vital to the patient's management.
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spelling doaj.art-803aba1f09584321b5dd7aa75af39b862022-12-21T20:31:24ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052015-04-010502e132e13510.1055/s-0035-1549296Amniotic Sac Herniation Through a Prior Cornual Scar in The Third TrimesterAntonio F. Saad0Maged M. Costantine1George Saade2Michel Makhlouf3Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TexasDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TexasDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TexasDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TexasAbstract Introduction Uterine rupture occurs in less than 0.1% of pregnancies. This complication can be detrimental to mother and fetus if not detected and managed in a timely manner. We report an unusual presentation of uterine scar rupture that was diagnosed on ultrasound in a completely stable patient with reassuring fetal status. Case Report A 24-year-old Gravida 5, Para 3 with history of cornual resection for ectopic pregnancy and two previous uterine ruptures presented at 30 weeks' gestation with worsening abdominal pain. Ultrasound identified herniation of the amniotic sac with fetal parts. The patient underwent cesarean delivery and cornual defect repair. Conclusion Close observation and early delivery remain vital to the patient's management.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1549296cornual pregnancyspontaneous uterine ruptureuterine surgery
spellingShingle Antonio F. Saad
Maged M. Costantine
George Saade
Michel Makhlouf
Amniotic Sac Herniation Through a Prior Cornual Scar in The Third Trimester
American Journal of Perinatology Reports
cornual pregnancy
spontaneous uterine rupture
uterine surgery
title Amniotic Sac Herniation Through a Prior Cornual Scar in The Third Trimester
title_full Amniotic Sac Herniation Through a Prior Cornual Scar in The Third Trimester
title_fullStr Amniotic Sac Herniation Through a Prior Cornual Scar in The Third Trimester
title_full_unstemmed Amniotic Sac Herniation Through a Prior Cornual Scar in The Third Trimester
title_short Amniotic Sac Herniation Through a Prior Cornual Scar in The Third Trimester
title_sort amniotic sac herniation through a prior cornual scar in the third trimester
topic cornual pregnancy
spontaneous uterine rupture
uterine surgery
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1549296
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AT georgesaade amnioticsacherniationthroughapriorcornualscarinthethirdtrimester
AT michelmakhlouf amnioticsacherniationthroughapriorcornualscarinthethirdtrimester