IMR Press / CEOG / Volume 43 / Issue 2 / DOI: 10.12891/ceog3066.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Uterine rupture in pregnancy: two case reports and review of literature
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1 Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, Cagliari
2 Department of Obstetric and Gynecology, University of Padua, Padua (Italy)
Clin. Exp. Obstet. Gynecol. 2016, 43(2), 304–309; https://doi.org/10.12891/ceog3066.2016
Published: 10 April 2016
Abstract

Rupture of a gravid uterus is an obstetric emergency. Risks factors include a scarred uterus but also spontaneous rupture of an unscarred uterus during pregnancy is possible. The authors present two cases of a spontaneous complete uterine rupture during pregnancy. The first case had only a past history of dilatation and curettage for abortion; the second case had a past history of dilatation and curettage for abortion and a monolateral laparoscopic salpingectomy for ectopic pregnancy. They presented with abdominal pain and after ultrasound scan, uterine ruptures were diagnosed. These cases show that there should be a high index of suspicious of uterine rupture in a gravid woman with a history of curettage for the possible presence of misunderstood uterine scar and in women with a past history of salpingectomy with or without corneal resection. Appropriate counseling and close follow-up might help to avoid such obstetrical catastrophes. To provide more insight into the possible risk factors for prelabor uterine rupture in pregnancy, a literature review was performed.
Keywords
Uterine rupture
Dilatation and curettage
Uterine scar
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