Spontaneous Uterine Rupture in the Second Trimester of Pregnancy Associated with Red Degeneration of Fibroid
نویسنده
چکیده
A thirty-nine year old woman with history of infertility was admitted at the 14 week of gestation complaining of acute abdominal pain. Ultrasound revealed a large intramural fibroid bulging into the uterine cavity showing signs of degeneration. It was pressing on the gestational sac with a normal intrauterine pregnancy. The internal cervical os was funneling indicating incompetence of the internal cervical os. A diagnosis of threatened abortion associated with red degeneration of fibroid and cervical incompetence was made. McDonald cerclage was performed. Six days after discharge, she was readmitted with acute abdomen. Laparotomy revealed hemoperitonium due to a spontaneous rupture of the uterine fundus, through which the fetus was extruded in the peritoneal cavity. A discussion of clinical management is presented in the light of the current literature.
منابع مشابه
Hemoperitoneum Caused by Placenta Percreta in the Third Trimester of Pregnancy
The placental adhesive disorders such as placenta accreta and placenta percreta are the rare causes of serious obstetric hemorrhages. They are associated with high maternal morbidity and mortality. Placenta percreta is usually diagnosed in the third trimester of pregnancy as a massive postpartum hemorrhage when an attempt to remove the placenta reveals lack of a cleavage plane. Here we report a...
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