Second-trimester uterine rupture: lessons learnt

Uterine rupture is a rare life-threatening complication. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. Our centre experienced three important cases of uterine rupture. First case: spontaneous uterine rupture at 14 weeks of pregnancy, w...

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Main Authors:	Abdulwahab, Dalia F, Ismail, Hamizah, Nusee, Zalina
Format:	Article
Language:	English
Published:	Universiti Sains Malaysia 2014
Subjects:	RG Gynecology and obstetrics
Online Access:	http://irep.iium.edu.my/37462/ http://irep.iium.edu.my/37462/ http://irep.iium.edu.my/37462/1/mjms-21-4-061.pdf

id	iium-37462
recordtype	eprints
spelling	iium-374622018-06-19T06:41:39Z http://irep.iium.edu.my/37462/ Second-trimester uterine rupture: lessons learnt Abdulwahab, Dalia F Ismail, Hamizah Nusee, Zalina RG Gynecology and obstetrics Uterine rupture is a rare life-threatening complication. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. Our centre experienced three important cases of uterine rupture. First case: spontaneous uterine rupture at 14 weeks of pregnancy, which was diagnosed at autopsy. It was misled by the ultrasound finding of an intrauterine pregnancy, and searching for other non-gynaecological causes delayed the urgent obstetric surgical management. Second case: ruptured uterus at 24 weeks following medical termination due to foetal anomaly. It was diagnosed only at laparotomy indicated for failed medical termination and chorioamnionitis. Third case: uterine rupture at 21 weeks of pregnancy in a patient with gastroenterology symptoms. In these reports, we have discussed the various risk factors, presentations, course of events and difficulties in diagnosing uterine rupture. The study concludes that the clinical presentation of uterine ruptures varies. It occurs regardless of gestational age. Ultrasound findings of intrauterine pregnancy with free fluid do not exclude uterine rupture or ectopic pregnancy. Searching for non-gynaecological causes in such clinical presentations might delay crucial surgical intervention, which leads to unnecessary morbidity, mortality or loss of obstetrics function. Universiti Sains Malaysia 2014-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/37462/1/mjms-21-4-061.pdf Abdulwahab, Dalia F and Ismail, Hamizah and Nusee, Zalina (2014) Second-trimester uterine rupture: lessons learnt. Malaysian Journal of Medical Sciences , 21 (4). pp. 61-65. ISSN 2180-4303 (O), 1394-195X (P) http://journal.usm.my/journal/mjms-21-4-061.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Abdulwahab, Dalia F Ismail, Hamizah Nusee, Zalina Second-trimester uterine rupture: lessons learnt
description	Uterine rupture is a rare life-threatening complication. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. Our centre experienced three important cases of uterine rupture. First case: spontaneous uterine rupture at 14 weeks of pregnancy, which was diagnosed at autopsy. It was misled by the ultrasound finding of an intrauterine pregnancy, and searching for other non-gynaecological causes delayed the urgent obstetric surgical management. Second case: ruptured uterus at 24 weeks following medical termination due to foetal anomaly. It was diagnosed only at laparotomy indicated for failed medical termination and chorioamnionitis. Third case: uterine rupture at 21 weeks of pregnancy in a patient with gastroenterology symptoms. In these reports, we have discussed the various risk factors, presentations, course of events and difficulties in diagnosing uterine rupture. The study concludes that the clinical presentation of uterine ruptures varies. It occurs regardless of gestational age. Ultrasound findings of intrauterine pregnancy with free fluid do not exclude uterine rupture or ectopic pregnancy. Searching for non-gynaecological causes in such clinical presentations might delay crucial surgical intervention, which leads to unnecessary morbidity, mortality or loss of obstetrics function.
format	Article
author	Abdulwahab, Dalia F Ismail, Hamizah Nusee, Zalina
author_facet	Abdulwahab, Dalia F Ismail, Hamizah Nusee, Zalina
author_sort	Abdulwahab, Dalia F
title	Second-trimester uterine rupture: lessons learnt
title_short	Second-trimester uterine rupture: lessons learnt
title_full	Second-trimester uterine rupture: lessons learnt
title_fullStr	Second-trimester uterine rupture: lessons learnt
title_full_unstemmed	Second-trimester uterine rupture: lessons learnt
title_sort	second-trimester uterine rupture: lessons learnt
publisher	Universiti Sains Malaysia
publishDate	2014
url	http://irep.iium.edu.my/37462/ http://irep.iium.edu.my/37462/ http://irep.iium.edu.my/37462/1/mjms-21-4-061.pdf
first_indexed	2023-09-18T20:53:44Z
last_indexed	2023-09-18T20:53:44Z
_version_	1777410165754036224

Second-trimester uterine rupture: lessons learnt

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