The most common obstetric complications after severe trauma in pregnancy are miscarriage, premature labor and premature rupture of membranes. Uterine rupture is rare and it occurs in less than 1% of pregnant women victims of this kind of accidents. We describe the case of a 36 years old woman victim of a tragic motor vehicle accident. Shock and unconsciousness were the principal symptoms and ut...

It was thought to be impossible to prolong the pregnancy in a case of uterine rupture in the second trimester. We encountered a case of rupture of the pregnant uterus in early mid-trimester, which we repaired with suture and overlapping of collagen fleece coated with fibrin glue, resulting in pregnancy prolongation until the 34th week. Our case and five previously reported cases were reviewed. ...

Spontaneous uterine rupture and generalized peritonitis caused by pyometra occurs rarely with high morbidity and mortality. A correct and definite diagnosis can be made with laparotomy or laparoscopy. The clinical findings of perforated pyometra are similar to perforation of the gastrointestinal tract and gynecologic symptoms are less frequent, which makes preoperative diagnosis difficult. We r...

Pregnancy in a rudimentary horn is a very rare condition. It is responsible for several complications. Prognosis is reserved because the natural evolution generally leads to a cataclysmic uterine rupture at the beginning of the second trimester. Classically, the treatment after foetal extraction consists of ablation of the rudimentary horn and associated fallopian tube. We report the obstetric ...

Almost all cases of abdominal pregnancy follow early rupture or abortion of a tubal pregnancy into the peritoneal cavity. In very rare cases of uterine rupture the fetus may be extruded into the peritoneal cavity while the placenta remains functional within the uterus and the gestation continues as a uteroabdominal pregnancy [1]. We present a rare case of, uteroabdominal pregnancy following ute...

Cornual pregnancy is a diagnostic and therapeutic challenge with potential severe consequences if uterine rupture occurs with following massive intraabdominal bleeding. We report a case of a misdiagnosed ruptured cornual pregnancy occurring at 21 weeks of gestation. Ultrasound examination and computer tomography revealed no sign of abnormal pregnancy. The correct diagnosis was first made at eme...

A rare case of spontaneous rupture of a branch of the uterine vein in a primigravida is discussed. The patient with an uncomplicated pregnancy presented with signs and symptoms suggestive of abruptio placenta with foetal distress. Lower segment Caesarean section was performed. The cause of acute pain was identified to be intra-abdominal bleeding secondary to the rupture of a branch of the uteri...

We report a case of uterine artery rupture in a woman at 14 weeks' gestation who presented with abdominal pain, tachycardia, and hypotension and underwent a diagnostic laparoscopy. During this procedure, a spontaneous rupture of the left uterine artery was diagnosed and the surgery was converted into a laparotomy. The artery was bound to its origin and to its distal uterine portion. The patient...

Cesarean section is the most commonly performed surgery in obstetrics, and its incidence is increasing with rates as high as 17% to 25% in some countries. In certain cases, cesarean scar dehiscence may lead to uterine rupture during pregnancy and delivery procedures. Moreover, cesarean scar dehiscence can be a site for developing ectopic pregnancy. We report a patient with one previous cesarean...

The risk of uterine scar dehiscence and uterine rupture is inversely related to the lower uterine segment (LUS) thickness as measured by ultrasound. Three dimensional ultrasound can increase the reliability of ultrasound in prediction of scar dehiscence. Transvaginal three dimensional ultrasound measurement of the muscular layer thickness of the lower uterine segment seems to be the most reliab...