J Korean Med Sci.  2005 Dec;20(6):1079-1081. 10.3346/jkms.2005.20.6.1079.

Spontaneous Uterine Rupture in the First Trimester: A Case Report

• Park YJ
• Ryu KY
• Lee JI
• Park MI

• KMID: 2157768
• DOI: http://doi.org/10.3346/jkms.2005.20.6.1079

Abstract

Uterine rupture is one of the most feared obstetric complications affecting the pregnant woman and fetus. Most of the cases have various risk factors and mainly occur during the second or third trimester. However, spontaneous uterine rupture during the first trimester is extremely rare. We experienced a case of spontaneous uterine rupture in a 36-yr-old multiparous woman without definite risk factors. The initial impression was a hemoperitoneum of an unknown origin with normal early pregnancy. Intensive surgical method would be needed for accurate diagnosis and immediate management in bad situation by hemoperitoneum even though a patient was early pregnancy.

Keyword

Uterine Rupture; Hemoperitoneum; Pregnancy Trimester, First

MeSH Terms

Adult
Female
Hemoperitoneum/diagnosis/etiology
Humans
Parity
Pregnancy
Pregnancy Trimester, First
Risk Factors
Uterine Rupture/*diagnosis/etiology

Figure

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  Fig. 1 On the vaginal ultrasonogram, a compressed gestational sac is found within the uterus. Two yolk sacs (arrow) are observed within the sac, but fetal part is not shown.

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  Fig. 2 On the abdominal CT, high attenuation fluid collection, suggesting blood clots, is found around the uterus but no other abnormal findings are observed.

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  Fig. 3 On the photography after laparotomy, small sized uterine rupture (arrow) was observed on the fundus.

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