title: Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report.
abstract: BACKGROUND
  Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock.
  
  
  METHODS
  We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepristone and misoprostol. Uterine rupture was discovered unexpectedly on diagnostic laparoscopy. The uterine rupture was contained by dense adhesions between the omentum and bladder with the previous uterine cesarean hysterotomy scar.
  
  
  CONCLUSIONS
  This case highlights the difficulties in diagnosis of abnormal placentation and an unusual presentation of uterine rupture. This case was managed successfully laparoscopically.
authors.affiliation: Department of Obstetrics and Gynecology, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, People's Republic of China. 20918179@zju.edu.cn.
authors.forename: Qiaoying
authors.initials: Q
authors.lastname: Jiang
authors.affiliation: Department of Obstetrics and Gynecology, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, People's Republic of China. yanglw1967@163.com.|Zhejiang Provincial People's Hospital, NO.158 Shangtang Road, Hangzhou, Zhejiang Province, 310014, China. yanglw1967@163.com.
authors.forename: Liwei
authors.initials: L
authors.lastname: Yang
authors.affiliation: Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. cashley@uwealth.org.
authors.forename: Charles
authors.initials: C
authors.lastname: Ashley
authors.affiliation: Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. emedlin@wisc.edu.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Medlin
authors.affiliation: Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. dmkushner@wisc.edu.
authors.forename: David M
authors.initials: DM
authors.lastname: Kushner
authors.affiliation: Department of Obstetrics and Gynecology, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, People's Republic of China. shiyueandguodong@163.com.
authors.forename: Yanmei
authors.initials: Y
authors.lastname: Zheng
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage; D000028:Abortion, Induced / Q000009:adverse effects / Q000379:methods; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D004107:Dilatation and Curettage / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D015735:Mifepristone / Q000008:administration & dosage*; D010920:Placenta / Q000473:pathology; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D000267:Tissue Adhesions / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D016055:Urinary Retention / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D015735:Mifepristone