IMR Press / CEOG / Volume 45 / Issue 3 / DOI: 10.12891/ceog4065.2018

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 as a courtesy and upon agreement with S.O.G.

Case Report
A third-trimester rupture in a scarred uterus: a case report
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1 Department of Gynecology and Obstetrics, Changhai Hospital, Shanghai, China
2 Department of Gynecology and Obstetrics, Chinese PLA General Hospital, Beijing, China
Clin. Exp. Obstet. Gynecol. 2018, 45(3), 452–455;
Published: 10 June 2018

Acute abdomen in pregnancy is a diagnostic and therapeutic challenge. Among its causes, uterine rupture complicates a minority of surgical emergencies with severe consequences, but occasionally constitutes an urgent medical situation in those pregnant women with uterine surgery history, especially in the third trimester. The authors present a case with an atypical presentation of uterine rupture occurring at 34+4 weeks of gestation, simultaneously suspected with acute appendicitis. Due to the potentially devastating outcomes and her surgical history of laparoscopic myomectomy, the suspected case was offered surgical emergencies. The authors' aim is to assess whether what they decided has helped to protect both mother and the unborn in this emergency. The risk of previous uterine surgeries for pregnant women, available differential diagnoses, and finer treatment points for this population are all discussed at length.
Uterine rupture
Acute abdomen
Late pregnancy
Laparoscopic myomectomy
Acute appendicitis
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