title: Spontaneous uterine rupture at 14 weeks gestation during a pregnancy consecutive to an oocyte donation in a woman with Turner's syndrome.
abstract: We describe a spontaneous uterine rupture at 14 weeks gestation in a Turner patient. A 39 year-old patient was admitted for abdominal pain and hypotension at 14 weeks of pregnancy. The pregnancy had been obtained by oocyte donation and in vitro fertilization (IVF) because of Turner's syndrome. The abdominal ultrasound scan showed a normal pregnancy and a conserved foetal cardiac activity. It also showed a large amount of free fluid in the perihepatic space. Haemoglobin was 11.2 g/dL. After hemodynamic degradation, urgent laparoscopy showed an unrepairable uterine rupture with partial exteriorisation of the pregnancy, and placenta percreta. Urgent conversion to laparotomy allowed haemostatic hysterectomy. Uterine rupture during pregnancy obtained by oocyte donation in Turner's syndrome may be life threatening. The possibility of such a complication should be considered before oocyte donation for IVF in Turner's patients. Early spontaneous uterine rupture (second trimester) is a challenging diagnostic that should be evoked in case of non-specific abdominal pain in the presence of risk factors.
authors: Service de Gynécologie-Obstétrique, CHU Carémeau, Place du Pr-Debré, 30029 Nîmes cedex 09, France.
authors: Florent
authors: F
authors: Masia
authors: Pôle Anesthésie-Réanimation-Douleur-Urgence, CHU Carémeau, Place du Pr-Debré, 30029 Nîmes cedex 09, France; Faculté de médecine, Université de Montpellier, Montpellier, France.
authors: Lana
authors: L
authors: Zoric
authors: Service de Gynécologie-Obstétrique, CHU Carémeau, Place du Pr-Debré, 30029 Nîmes cedex 09, France.
authors: Sylvie
authors: S
authors: Ripart-Neveu
authors: Service de Gynécologie-Obstétrique, CHU Carémeau, Place du Pr-Debré, 30029 Nîmes cedex 09, France.
authors: Pierre
authors: P
authors: Marès
authors: Pôle Anesthésie-Réanimation-Douleur-Urgence, CHU Carémeau, Place du Pr-Debré, 30029 Nîmes cedex 09, France; Faculté de médecine, Université de Montpellier, Montpellier, France. Electronic address: jacques.ripart@chu-nimes.fr.
authors: Jacques
authors: J
authors: Ripart
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D018587:Oocyte Donation / Q000009:adverse effects*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D014424:Turner Syndrome; D014597:Uterine Rupture / Q000209:etiology*
keywords: Ectopic pregnancy; In vitro fertilization; Oocyte donation; Turner's syndrome; Uterine rupture