title: Uterine rupture in pregnancy: two case reports and review of literature.
abstract: Rupture of a gravid uterus is an obstetric emergency. Risks factors include a scarred uterus but also spontaneous rupture of an un- scarred uterus during pregnancy is possible. The authors present two cases of a spontaneous complete uterine rupture during pregnancy. The first case had only a past history of dilatation and curettage for abortion; the second case had a past history of dilatation and curettage for abortion and a monolateral laparoscopic salpingectomy for ectopic pregnancy. They presented with abdominal pain and after ultrasound scan, uterine ruptures were diagnosed. These cases show that there should be a high index of suspicious of uterine rupture in a gravid woman with a history of curettage for the possible presence of misunderstood uterine scar and in women with a past history of salpingectomy with or without corneal resection. Appropriate counseling and close follow-up might help to avoid such obstetrical catastrophes. To provide more insight into the possible risk factors for prelabor uterine rupture in pregnancy, a literature review was performed.
authors.forename: A
authors.initials: A
authors.lastname: Pontis
authors.forename: C
authors.initials: C
authors.lastname: Prasciolu
authors.forename: P
authors.initials: P
authors.lastname: Litta
authors.forename: S
authors.initials: S
authors.lastname: Angioni
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data; D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000453:epidemiology; D004107:Dilatation and Curettage / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy; D008297:Male; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000453:epidemiology / Q000601:surgery; D012307:Risk Factors; D012422:Rupture, Spontaneous; D058994:Salpingectomy; D014597:Uterine Rupture / Q000453:epidemiology / Q000601:surgery*