Second trimester uterine rupture: lesson learned

Introduction: Uterine rupture is a rare obstetrics catastrophic especially if it occurs during early pregnancy. We experienced three cases of ruptured uterus in the second trimester that first line doctors and obstetrician could learn lessons from. Objectives: To study the presentations and...

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Main Authors:	Abdulwahab, Dalia F, Ismail, Hamizah, Nusee, Zalina, Raja Ismail, Raja Arif Shah, M, Azam, Awang, Mokhtar, I, Roziah, Abd Rahman, Azlina, MS, Azrul
Format:	Article
Language:	English English English
Published:	Obstetrical & Gynaecological society of malaysia 2011
Subjects:	RG Gynecology and obstetrics
Online Access:	http://irep.iium.edu.my/31322/ http://irep.iium.edu.my/31322/1/SECOND_TRIMESTER_UTERINE_RUPTURE_OGSM_IREP.pdf http://irep.iium.edu.my/31322/4/dr_dalia.jpeg http://irep.iium.edu.my/31322/5/second_trimester.jpeg

id	iium-31322
recordtype	eprints
spelling	iium-313222013-09-03T08:10:42Z http://irep.iium.edu.my/31322/ Second trimester uterine rupture: lesson learned Abdulwahab, Dalia F Ismail, Hamizah Nusee, Zalina Raja Ismail, Raja Arif Shah M, Azam Awang, Mokhtar I, Roziah Abd Rahman, Azlina MS, Azrul RG Gynecology and obstetrics Introduction: Uterine rupture is a rare obstetrics catastrophic especially if it occurs during early pregnancy. We experienced three cases of ruptured uterus in the second trimester that first line doctors and obstetrician could learn lessons from. Objectives: To study the presentations and outcome of uterine rupture in the second trimester. Methodology: A retrospective review of uterine rupture in Hospital Tengku Ampuan Afzan from the 1st of April 2010 to the 1st of April 2011. Data obtained from case records, histopathological and autopsy reports. Result: There were 3 cases of uterine rupture. First case, uterine rupture at 15 weeks post sexual intercourse, undiagnosed until postmortem. Second case: ruptured uterus at 24 week diagnosed at laparotomy with the indication of failed medical termination for fetal anomaly. Third case: ruptured uterus at 21 weeks following abdominal massage with initial diagnosis of acute gastroentritis. The final diagnosis was ruptured uterus secondary to placenta percreta, related to medical induction and interstitial pregnancy respectively. Conclusion: Rupture uterus should be considered with or without any risk factors regardless of the gestational age whenever any impression of hemoperitoneum. Intensive surgical method would be needed for accurate diagnosis and immediate management even in early pregnancy is a life saving. Obstetrical & Gynaecological society of malaysia 2011-06-02 Article PeerReviewed application/pdf en http://irep.iium.edu.my/31322/1/SECOND_TRIMESTER_UTERINE_RUPTURE_OGSM_IREP.pdf application/pdf en http://irep.iium.edu.my/31322/4/dr_dalia.jpeg application/pdf en http://irep.iium.edu.my/31322/5/second_trimester.jpeg Abdulwahab, Dalia F and Ismail, Hamizah and Nusee, Zalina and Raja Ismail, Raja Arif Shah and M, Azam and Awang, Mokhtar and I, Roziah and Abd Rahman, Azlina and MS, Azrul (2011) Second trimester uterine rupture: lesson learned. Malaysian Journal of Obstetrics & Gynaecology, 8 (21). pp. 78-79. ISSN 0128-6013
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Abdulwahab, Dalia F Ismail, Hamizah Nusee, Zalina Raja Ismail, Raja Arif Shah M, Azam Awang, Mokhtar I, Roziah Abd Rahman, Azlina MS, Azrul Second trimester uterine rupture: lesson learned
description	Introduction: Uterine rupture is a rare obstetrics catastrophic especially if it occurs during early pregnancy. We experienced three cases of ruptured uterus in the second trimester that first line doctors and obstetrician could learn lessons from. Objectives: To study the presentations and outcome of uterine rupture in the second trimester. Methodology: A retrospective review of uterine rupture in Hospital Tengku Ampuan Afzan from the 1st of April 2010 to the 1st of April 2011. Data obtained from case records, histopathological and autopsy reports. Result: There were 3 cases of uterine rupture. First case, uterine rupture at 15 weeks post sexual intercourse, undiagnosed until postmortem. Second case: ruptured uterus at 24 week diagnosed at laparotomy with the indication of failed medical termination for fetal anomaly. Third case: ruptured uterus at 21 weeks following abdominal massage with initial diagnosis of acute gastroentritis. The final diagnosis was ruptured uterus secondary to placenta percreta, related to medical induction and interstitial pregnancy respectively. Conclusion: Rupture uterus should be considered with or without any risk factors regardless of the gestational age whenever any impression of hemoperitoneum. Intensive surgical method would be needed for accurate diagnosis and immediate management even in early pregnancy is a life saving.
format	Article
author	Abdulwahab, Dalia F Ismail, Hamizah Nusee, Zalina Raja Ismail, Raja Arif Shah M, Azam Awang, Mokhtar I, Roziah Abd Rahman, Azlina MS, Azrul
author_facet	Abdulwahab, Dalia F Ismail, Hamizah Nusee, Zalina Raja Ismail, Raja Arif Shah M, Azam Awang, Mokhtar I, Roziah Abd Rahman, Azlina MS, Azrul
author_sort	Abdulwahab, Dalia F
title	Second trimester uterine rupture: lesson learned
title_short	Second trimester uterine rupture: lesson learned
title_full	Second trimester uterine rupture: lesson learned
title_fullStr	Second trimester uterine rupture: lesson learned
title_full_unstemmed	Second trimester uterine rupture: lesson learned
title_sort	second trimester uterine rupture: lesson learned
publisher	Obstetrical & Gynaecological society of malaysia
publishDate	2011
url	http://irep.iium.edu.my/31322/ http://irep.iium.edu.my/31322/1/SECOND_TRIMESTER_UTERINE_RUPTURE_OGSM_IREP.pdf http://irep.iium.edu.my/31322/4/dr_dalia.jpeg http://irep.iium.edu.my/31322/5/second_trimester.jpeg
first_indexed	2023-09-18T20:45:33Z
last_indexed	2023-09-18T20:45:33Z
_version_	1777409650103156736

Second trimester uterine rupture: lesson learned

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