{
    "abstract": "Uterine rupture is a rare condition that typically occurs in a scarred uterus and can happen during late pregnancy, labor, or the early postpartum period. Since most cases are seen in patients with a history of cesarean surgery, the anterior lower uterine segment is the most affected area. Most patients present with acute symptoms that compromise the fetus and the mother in a life-threatening manner.\nWe present a case of uterine rupture with subacute symptoms occurring in the second trimester, which is extremely rare. The patient was a stable second-trimester multiparous woman with chronic abdominal pain, but without any signs of peritoneal bleeding or instability. No history of previous cesarean section was present, and she had recently undergone a non-complicated hysteroscopic polypectomy. Transabdominal and transvaginal ultrasounds were performed, revealing a significant full-thickness myometrial defect in the posterior uterine lower segment. This defect allowed the amniotic sac to protrude into the posterior cul-de-sac. No abdominopelvic hematoma was detected. These findings were confirmed in an urgent MRI, and the patient underwent a laparotomy during which a significant full-thickness defect was discovered at the posterior of the uterus. As it was impossible to continue the pregnancy, the fetus was surgically removed and then prepared using multiple layers.\nThe difference between our case and the previously reported one is in the aspect of gradual stable presentation and lacks of vaginal bleeding.\nPrevious hysteroscopy carries a risk for future pregnancy complications, such as uterine rupture.",
    "authors": [
        {
            "affiliation": "Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Radiology Department, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.",
            "firstname": "Sara",
            "initials": "S",
            "lastname": "Parviz"
        },
        {
            "affiliation": "Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.",
            "firstname": "Maryam",
            "initials": "M",
            "lastname": "Deldar Pasikhani"
        },
        {
            "affiliation": "Department of perinatology, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran.",
            "firstname": "Soghra",
            "initials": "S",
            "lastname": "KHazardoost"
        },
        {
            "affiliation": "Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Radiology Department, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.",
            "firstname": "Mahrooz",
            "initials": "M",
            "lastname": "Malek"
        },
        {
            "affiliation": "Department of Gynecologic Oncology, Vali-Asr Hospital, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran. Electronic address: dr.narges.zamani@gmail.com.",
            "firstname": "Narges",
            "initials": "N",
            "lastname": "Zamani"
        }
    ],
    "conclusions": "Previous hysteroscopy carries a risk for future pregnancy complications, such as uterine rupture.",
    "copyrights": "Copyright \u00a9 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.",
    "doi": "10.1016/j.ijscr.2024.109741",
    "journal": "International journal of surgery case reports",
    "keywords": [
        "Case report",
        "Hysteroscopy",
        "Second-trimester",
        "Uterine rupture"
    ],
    "methods": null,
    "publication_date": "2024-05-20",
    "pubmed_id": "38762958\n35284959\n23065165\n29379670\n22665874\n23276762\n11004351\n20629481\n37013953\n23243529\n25977625\n33425347\n36590664",
    "results": null,
    "title": "Early diagnosis of impending rupture uterus during U/S: A case report.",
    "xml": "<Element 'PubmedArticle' at 0x788501fb8c20>"
}