title: Early second trimester uterine scar rupture.
abstract: Spontaneous uterine scar rupture can be lethal in pregnant women. A spontaneous uterine scar rupture in the early mid-trimester is rare and difficult to diagnose. This is a case of a 30-year-old woman (G2P1L1) at 19 weeks of gestation and having undergone a previous caesarean section presented with acute abdomen in shock. Laparotomy revealed a uterine scar rupture, which was resutured after evacuation of products of conception. This case merits that the uterine rupture should be considered as a differential diagnosis in pregnant women presenting with acute abdomen. In this case, although there was uterine rupture in the second trimester and a complete placental separation, fetus was alive which is quite unusual in patients presenting with rupture uterus.
authors: Department of OBG, Manipal University, Manipal, Karnataka, India.
authors: Sunanda
authors: S
authors: Bharatnur
authors: Shripad
authors: S
authors: Hebbar
authors: G
authors: G
authors: Shyamala
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis* / Q000209:etiology; D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010920:Placenta; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014597:Uterine Rupture / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000473:pathology* / Q000601:surgery