title: An unusual presentation of recurrent uterine rupture during pregnancy.
abstract: We describe a case of recurrent uterine rupture at the site of a previous rupture. Our patient had a history of right interstitial pregnancy with spontaneous uterine fundal rupture at 18 weeks of pregnancy. During her subsequent pregnancy, she was monitored closely by a senior consultant obstetrician. The patient presented at 34 weeks with right hypochondriac pain. She was clinically stable and fetal monitoring showed no signs of fetal distress. Ultrasonography revealed protrusion of the intact amniotic membranes in the abdominal cavity at the uterine fundus. Uterine rupture is a rare but hazardous obstetric complication. High levels of caution should be exercised in patients with a history of prior uterine rupture, as they may present with atypical symptoms. Ultrasonography could provide valuable information in such cases where there is an elevated risk of uterine rupture at the previous rupture site.
authors.affiliation: Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore.
authors.forename: Shu Qi
authors.initials: SQ
authors.lastname: Tan
authors.affiliation: Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore.
authors.forename: Edwin Wee Hong
authors.initials: EW
authors.lastname: Thia
authors.affiliation: Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore.
authors.forename: Chee Seng John
authors.initials: CS
authors.lastname: Tee
authors.affiliation: Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore.
authors.forename: George Seow Heong
authors.initials: GS
authors.lastname: Yeo
mesh_terms: D015746:Abdominal Pain; D000328:Adult; D000650:Amnion / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007813:Laparotomy; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging*; D011256:Pregnancy Outcome; D012008:Recurrence; D014463:Ultrasonography; D014597:Uterine Rupture / Q000000981:diagnostic imaging*; D014599:Uterus / Q000000981:diagnostic imaging / Q000473:pathology
keywords: diagnosis; fundal rupture; recurrent; ultrasonography; uterine rupture