Uterine rupture in the first trimester: a case report and review of the literature
Abstract Background Uterine rupture is a rare complication that can occur in the first trimester of pregnancy. It can lead to serious maternal morbidity or mortality, which is mostly due to catastrophic bleeding. First trimester uterine rupture is rare; hence, diagnosis can be challenging as it may...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-04318-w |
| _version_ | 1827388493106511872 |
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| author | Steve Kyende Mutiso Felix Mwembi Oindi Debbie Muthoni Mundia |
| author_facet | Steve Kyende Mutiso Felix Mwembi Oindi Debbie Muthoni Mundia |
| author_sort | Steve Kyende Mutiso |
| collection | DOAJ |
| description | Abstract Background Uterine rupture is a rare complication that can occur in the first trimester of pregnancy. It can lead to serious maternal morbidity or mortality, which is mostly due to catastrophic bleeding. First trimester uterine rupture is rare; hence, diagnosis can be challenging as it may be confused with other causes of early pregnancy bleeding such as an ectopic pregnancy. We present a case of first trimester scar dehiscence and conduct a literature review of this rare condition. Case presentation A 39-year-old African patient with four previous hysterotomy scars presented with severe lower abdominal pain at 11 weeks of gestation. She had two previous histories of third trimester uterine rupture in previous pregnancies with subsequent hysterotomies and repair. She underwent a diagnostic laparoscopy that confirmed the diagnosis of a 10 cm anterior wall uterine rupture. A laparotomy and repair of the rupture was subsequently done. Conclusion In conclusion, the case presented adds to the body of evidence of uterine scar dehiscence in the first trimester. The risk factors, clinical presentation, diagnostic imaging, and management outlined may help in early identification and management of this rare but life threatening condition. |
| first_indexed | 2024-03-08T16:19:34Z |
| format | Article |
| id | doaj.art-92e57bd314d648d7934995da94f72140 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-03-08T16:19:34Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-92e57bd314d648d7934995da94f721402024-01-07T12:27:33ZengBMCJournal of Medical Case Reports1752-19472024-01-011811610.1186/s13256-023-04318-wUterine rupture in the first trimester: a case report and review of the literatureSteve Kyende Mutiso0Felix Mwembi Oindi1Debbie Muthoni Mundia2Department of Obstetrics and Gynaecology, Aga-Khan UniversityDepartment of Obstetrics and Gynaecology, Aga-Khan UniversityDepartment of Obstetrics and Gynaecology, Aga-Khan UniversityAbstract Background Uterine rupture is a rare complication that can occur in the first trimester of pregnancy. It can lead to serious maternal morbidity or mortality, which is mostly due to catastrophic bleeding. First trimester uterine rupture is rare; hence, diagnosis can be challenging as it may be confused with other causes of early pregnancy bleeding such as an ectopic pregnancy. We present a case of first trimester scar dehiscence and conduct a literature review of this rare condition. Case presentation A 39-year-old African patient with four previous hysterotomy scars presented with severe lower abdominal pain at 11 weeks of gestation. She had two previous histories of third trimester uterine rupture in previous pregnancies with subsequent hysterotomies and repair. She underwent a diagnostic laparoscopy that confirmed the diagnosis of a 10 cm anterior wall uterine rupture. A laparotomy and repair of the rupture was subsequently done. Conclusion In conclusion, the case presented adds to the body of evidence of uterine scar dehiscence in the first trimester. The risk factors, clinical presentation, diagnostic imaging, and management outlined may help in early identification and management of this rare but life threatening condition.https://doi.org/10.1186/s13256-023-04318-wUterine dehiscenceFirst trimesterOutcomeComplications |
| spellingShingle | Steve Kyende Mutiso Felix Mwembi Oindi Debbie Muthoni Mundia Uterine rupture in the first trimester: a case report and review of the literature Journal of Medical Case Reports Uterine dehiscence First trimester Outcome Complications |
| title | Uterine rupture in the first trimester: a case report and review of the literature |
| title_full | Uterine rupture in the first trimester: a case report and review of the literature |
| title_fullStr | Uterine rupture in the first trimester: a case report and review of the literature |
| title_full_unstemmed | Uterine rupture in the first trimester: a case report and review of the literature |
| title_short | Uterine rupture in the first trimester: a case report and review of the literature |
| title_sort | uterine rupture in the first trimester a case report and review of the literature |
| topic | Uterine dehiscence First trimester Outcome Complications |
| url | https://doi.org/10.1186/s13256-023-04318-w |
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