Extrauterine pregnancy resulting from early uterine rupture.
BACKGROUND
Cesarean scar rupture of a gravid uterus in early gestation is rare.


METHODS
A 38-year-old woman, gravida 4, para 2-0-1-1, presented at 13 weeks' gestation with cramping and spotting. She had a history of two cesareans. Ultrasound and magnetic resonance imaging indicated probable uterine dehiscence and a viable extrauterine pregnancy. After embolization of the uterine arteries with subsequent fetal death, the subject had a hysterectomy. Intraoperatively, she had complete rupture of the lower uterine segment, but the pregnancy was enclosed within scar tissue between the uterus and bladder. Placenta percreta was found by histologic examination.


CONCLUSIONS
Women with histories of cesareans might be at risk of early uterine rupture.
Marcus
S
S
Department of Obstetrics and Gynecology, University of Washington Medical Center, Seattle 98195-6460, USA. smarcus@u.washington.edu
Cheng
E
E
Goff
B
B
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000209:etiology*; D013529:Surgical Wound Dehiscence; D014597:Uterine Rupture / Q000150:complications*