|
Abstract
|
|
|
|
Background: Acute abdomen in pregnancy has numerous causes related or unrelated to pregnancy. Uterine rupture, one of the pregnancy related acute abdomen causes, is a condition with potential extremely poor maternal and fetal outcomes due to excess intra-abdominal bleeding. Uterine rupture frequently occurs in the 2nd or 3rd trimesters of the pregnancy. Spontaneous uterine rupture in the first trimester of the pregnancy is rarely encountered. Case Report: An 11-week pregnant woman with 2 caesarean births and 4 curettages in her obstetric history presented to the hospital because of abdominal pain and fainting in a shock condition. Emergency laparotomy was performed and a rupture area at the lower segment of uterus and plenty of blood and coagulum in the abdomen were seen. Gestational sac, with the fetus inside, was in the abdominal cavity as a whole. Subtotal hysterectomy was done on the patient. Placenta accreta and adenomyosis were identified after pathological evaluation of the uterus. Conclusion: We present this case report to emphasize the importance of accurate and early diagnosis of caesarean scar pregnancies which leads to any endangering outcomes for patients if it was overlooked. |
|
|
|
|
|
Keywords :
|
Cesarean Section, Ectopic pregnancy, Uterine Rupture, Placenta Accreta, Pregnancy, Acute abdomen, Humans.
|
|