Spontaneous Rupture in a Non-Laboring Uterus at 20 Weeks: A Case Report

• DOI: 10.12659/ajcr.924894
• Publication Date: 2021-02-22T17:07:17Z
• Authors: Noorkardiffa Syaw...; Norazilah Mat Jin; Akmal Zulayla Moh...; Bahiyah Abdullah
• Keywords: Uterine rupture; Placenta Percreta; Placenta Accreta; Hysterotomy

BACKGROUND:Uterine rupture is uncommon but when it happens, can cause significant morbidity and mortality to both mother fetus. Incidence reportedly higher in scarred than unscarred uteri. Most cases occur laboring women their third trimester with a previous history of uterine surgery, such as caesarean delivery or myomectomy. We present case spontaneous non-laboring uterus the mid-trimester pregnancy. CASE REPORT:The patient presented threatened miscarriage at 17 weeks' gestation ultrasound findings were that raised suspicion morbidly adherent placenta. Her was for two cesarean deliveries more 5 years ago followed by complete miscarriages first trimester. The managed conservatively until 20 gestation, she acute abdomen hypotensive shock. hemoglobin dropped level required blood transfusion. An emergency exploratory laparotomy performed, which revealed 5-cm lower part anterior wall uterus, out there extrusion Given patient's massive bleeding, decision made proceed subtotal hysterectomy. Histopathology specimen confirmed diagnosis placenta percreta. CONCLUSIONS:Identification scarring crucial because even early pregnancy, lead rupture. Furthermore, failure recognize promptly manage may prove fatal.