title: Uterine dehiscence in early second trimester.
abstract: BACKGROUND
  The diagnosis of uterine dehiscence in the early second trimester by ultrasonography is rare and its effect on pregnancy outcome is unclear.
  
  
  METHODS
  An asymptomatic woman presented for anatomy survey in the 19th week of pregnancy. Uterine dehiscence at the site of previous hysterotomy was diagnosed by ultrasound scan. She was admitted to the hospital for expectant management and eventually opted for termination of pregnancy in the 22nd week of pregnancy. Termination was performed by classical hysterotomy without any complications.
  
  
  CONCLUSIONS
  Given the increasing cesarean delivery rate and improvements in ultrasound technology, obstetricians should expect to face the management dilemma of antenatally diagnosed uterine dehiscence. The risks of expectant management compared with termination remain theoretical, and timing of delivery and methods of termination are important questions to consider.
authors.affiliation: From the Yale University School of Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences, New Haven, Connecticut.
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Zuckerwise
authors.forename: Hakan
authors.initials: H
authors.lastname: Cakmak
authors.forename: Anna K
authors.initials: AK
authors.lastname: Sfakianaki
mesh_terms: D000028:Abortion, Induced; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D020883:Hysterotomy / Q000009:adverse effects*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging*; D011262:Pregnancy Trimester, Second; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging*; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal