IMR Press / CEOG / Volume 45 / Issue 4 / DOI: 10.12891/ceog3906.2018
Open Access Case Report
Second trimester uterine rupture in a septated unscarred uterus: a case report study
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1 Department of Obstetrics & Gynecology, Alexandra Hospital, University of Athens, Athens, Greece
Clin. Exp. Obstet. Gynecol. 2018 , 45(4), 599–601; https://doi.org/10.12891/ceog3906.2018
Published: 10 August 2018
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.
Keywords
Uterine rupture
Uterine septum
Second trimester
Case report
Unscarred uterus
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