Distinctive ultrasonographic finding of complete uterine rupture in early mid-trimester.
In many cases of uterine rupture, diagnosis is often impossible when characteristic clinical symptoms are absent. We encountered a case of suspected peritoneal pregnancy in which we were able to make a definitive diagnosis by ultrasonography of complete uterine rupture in early mid-trimester. The possibly distinctive finding is the high-echo area that extends from the endometrium to the uterine serosa. This contiguous, highly echogenic finding should be recognized as characteristic of complete rupture of the uterus.
Perinatal Care Center, Akita University Hospital, Akita, Japan. ogawapen@gipc.akita-u.ac.jp.|Department of Obstetrics and Gynecology, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan. ogawapen@gipc.akita-u.ac.jp.
Masaki
M
Ogawa
Department of Obstetrics and Gynecology, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.
Tae
T
Sugawara
Department of Obstetrics and Gynecology, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.
Akira
A
Sato
Department of Obstetrics and Gynecology, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.
Toshinobu
T
Tanaka
Early mid-trimester; Ultrasonographic finding; Uterine rupture; Uterus bicornis