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Obstet Gynecol. 1999 Nov;94(5 Pt 2):804-5.

Extrauterine pregnancy resulting from early uterine rupture.

Author information

  • 1Department of Obstetrics and Gynecology, University of Washington Medical Center, Seattle 98195-6460, USA. smarcus@u.washington.edu

Abstract

BACKGROUND:

Cesarean scar rupture of a gravid uterus in early gestation is rare.

CASE:

A 38-year-old woman, gravida 4, para 2-0-1-1, presented at 13 weeks' gestation with cramping and spotting. She had a history of two cesareans. Ultrasound and magnetic resonance imaging indicated probable uterine dehiscence and a viable extrauterine pregnancy. After embolization of the uterine arteries with subsequent fetal death, the subject had a hysterectomy. Intraoperatively, she had complete rupture of the lower uterine segment, but the pregnancy was enclosed within scar tissue between the uterus and bladder. Placenta percreta was found by histologic examination.

CONCLUSION:

Women with histories of cesareans might be at risk of early uterine rupture.

PMID:
10546734
[PubMed - indexed for MEDLINE]
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