A case of scarred uterine rupture at 11 weeks of gestation having a uterine scar places induced by in vitro fertilization-embryo transfer.

Akiko Takashima,Toshihiko Kinoshita,Toshihiko Kinoshita,Naoki Takeshita,Naoki Takeshita

doi:10.4081/cp.2018.1038

Akiko Takashima, Toshihiko Kinoshita + Show 3 more

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https://doi.org/10.4081/cp.2018.1038

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Abstract

Having a uterine scar places a woman at increased risk of complications, such as Cesarean scar pregnancy (CSP), uterine rupture, placenta previa, and placenta accreta, in subsequent pregnancies. We report a case of uterine rupture at 11 weeks of gestation in a woman with a previous Cesarean section. A 43-year-old woman with a history of abdominal myomectomy and Cesarean section had her pregnancy induced by in vitro fertilization with donor eggs. The exact location of the gestational sac was identified on her first day of hospitalization, and her pregnancy was suspected to be a CSP. The following day, the patient complained of sudden lower abdominal pain. A uterine scar rupture was diagnosed, and an emergency surgery was required. It may be that first-trimester screening could allow the early recognition of patients at risk for these perinatal complications.

Highlights

We report a n case of uterine rupture at 11 weeks of gestao tion in a woman with a previous Cesarean e section
The exact location of the gestational ia sac was identified on her first day of hospic talization, and her pregnancy was suspected r to be a Cesarean scar pregnancy (CSP)
It may be that first-trimester screening could m allow the early recognition of patients at o risk for these perinatal complications. on-c Introduction N Cesarean scar pregnancy (CSP) is rare bleeding after Cesarean section (CS)

Summary

Introduction

Increased risk of complications, such as Cesarean scar pregnancy (CSP), uterine ly rupture, placenta previa, and placenta accreta, in subsequent pregnancies. We report a n case of uterine rupture at 11 weeks of gestao tion in a woman with a previous Cesarean e section. A 43-year-old woman with a history of abdominal myomectomy and s Cesarean section had her pregnancy u induced by in vitro fertilization with donor l eggs.

Results

Conclusion