What is it about?
Uterine rupture without labour in the 2nd and early 3rd trimester is very rare and represents a life-threatening complication. We describe a case of uterine rupture in a retrofl exed gravid uterus in the 23rd gestational week.
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Why is it important?
In a pregnant woman, who presents with severe abdominal pain and is haemodynamically unstable, a uterine rupture is a rare complication but the diagnosis should be considered and the necessary radiological examinations taken.
Perspectives
Th e risk of uterine rupture during labour in women with a history of a caesarean section is approximately one in 200 (Zwart et al. 2009). In Denmark, however, the frequency was reported to be 1.09% in 2004 (Danish National Board of Health). In contrast, uterine rupture during pregnancy without labour is unexpected and very rare.
Dr Finn Friis Lauszus
Herning hospital
Read the Original
This page is a summary of: Second trimester rupture in a retroflexed, scarred uterus, Journal of Obstetrics and Gynaecology, August 2013, Taylor & Francis,
DOI: 10.3109/01443615.2013.795135.
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