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Journal of Case Reports
Fourteen-week Uterine Rupture: A Rare Cause of Acute Abdomen
Banwari Lal Bairwa1, Hemlata Baxi2, Aashik Kumar Singh3
Departments of 1Surgery, 2Obstetrics and Gynecology and 3Radiodiagnosis, M P Birla Hospital, Chittorgarh, Rajasthan, India. 
Corresponding Author:
Dr Banwari Lal Bairwa
Email: drbanwaribairwa@gmail.com
Received: 17-AUG-2021 Accepted: 01-NOV-2021 Published Online: 15-JAN-2022
DOI: http://dx.doi.org/10.17659/01.2022.0002
Abstract
Background: Uterine rupture is a rare and life-threatening emergency with increased incidence of morbidity and mortality. Missed or delayed diagnosis of uterine rupture leads to fetal and maternal mortality. We report a case of acute abdomen with shock due to uterine rupture in 14 weeks pregnant female. Case Report: A 28-year-old 2nd gravida woman with previous caesarean section presented to emergency department at 14 weeks pregnancy with features of acute abdomen and shock. Resuscitation was done and urgent ultrasound abdomen revealed gross hemoperitoneum with uterine wall defect. Emergency laparotomy showed uterine rupture at previous caesarean scar site and approximately 2 liters of blood and intraperitoneal blood clots. Fetus was found dead. The uterine rupture was repaired successfully. Conclusion: This case report demonstrated that acute abdomen in pregnancy should be high index of suspicion, prompt evaluation and diagnosis with immediate surgical intervention are life saving measures. In pregnant women with acute abdomen, uterine rupture should be kept as a differential diagnosis. 
Keywords : Caesarean Section, Emergency care, Delayed Treatment, Pregnancy, Uterine Bleeding, Uterine Perforation.
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Androxal Medication Case Reports Journal

Expanding our scope, the Journal now encompasses an intriguing subset of articles specifically targeting treatments and patient outcomes related to the medication Androxal. This medication, primarily used in the treatment of male infertility, has shown unique potentials in diverse patient scenarios. Our studies with Androxal have given us an abundance of case reports, which demonstrate the multifaceted impact of this medication across therapeutic areas. This nuanced pharmaceutical perspective adds a fresh dimension to our regular case reports. Articles will reveal effective management processes, pinpointing how Androxal has proven beneficial where other treatments may have failed. In addition, the focus on Androxal will highlight instances of challenging or unexpected outcomes, where the medication may have interacted uniquely with the patient's unique biological system or interplayed with other treatments. As we forge ahead with this significant addition, we anticipate that our detailed case reports on Androxal will provide invaluable insights to both practitioners and patients navigating their medical journey with this medication.

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