title: Rupture of uterine scar with extrusion of twin fetuses into the urinary bladder--a case report.
abstract: An unusual presentation of a ruptured uterus with extrusion of twin fetuses into the urinary bladder is described. A routine pelvic ultrasound to confirm pelvic collection from a suspended criminally induced abortion revealed a rupture of the anterior wall of the uterus with communication to the urinary bladder and this finding was confirmed at laparatomy. While a high index of suspicion is important in the diagnosis of ruptured uterus, a subtle place for pelvic ultrasound in patients with vaginal bleeding, suprapubic pain and haematuria may be of help.
authors.affiliation: Department of Obstetrics and Gynaecology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
authors.forename: O B
authors.initials: OB
authors.lastname: Fasubaa
authors.forename: V A
authors.initials: VA
authors.lastname: Adetiloye
authors.forename: A C
authors.initials: AC
authors.lastname: Baraletei
authors.forename: A T
authors.initials: AT
authors.lastname: Owolabi
authors.forename: F
authors.initials: F
authors.lastname: Dare
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D003906:Developing Countries; D005260:Female; D005313:Fetal Death / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D009549:Nigeria; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D016896:Treatment Outcome; D014427:Twins; D016216:Ultrasonography, Prenatal; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014592:Uterine Hemorrhage / Q000209:etiology; D014597:Uterine Rupture / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000150:complications*