title: Sonographic Findings and Diagnostic Pitfalls in Evaluation for Uterine Rupture in a Case of Fetal Demise and Prior Cesarean Delivery of Unknown Type.
abstract: A 38-week pregnant patient with history of cesarean delivery was admitted to the hospital for induction of labor after diagnosis of fetal demise. When the clinical picture became concerning for uterine scar dehiscence, an ultrasound was ordered. After targeted ultrasound of the lower uterine segment, the sonographer initially reported thin but intact lower uterine segment and normal positioning of the fetus. By keeping a high level of suspicion, the radiologist analyzed the images submitted and found other clues suggesting possible dehiscence or rupture. Additional images were then obtained, ultimately demonstrating uterine rupture with fetus external to uterus.
authors.affiliation: From the Department of Radiology, Henry Ford Hospital, Detroit, MI.
authors.forename: James Andrew
authors.initials: JA
authors.lastname: Spain
authors.forename: Shehbaz
authors.initials: S
authors.lastname: Shaikh
authors.forename: Sharon A
authors.initials: SA
authors.lastname: Sandberg
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000000981:diagnostic imaging; D005260:Female; D005313:Fetal Death; D006801:Humans; D011247:Pregnancy; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging*; D016216:Ultrasonography, Prenatal / Q000379:methods*; D014597:Uterine Rupture / Q000000981:diagnostic imaging*; D014599:Uterus / Q000000981:diagnostic imaging