Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report

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• 作者：Qiaoying Jiang (1)
  Liwei Yang (1) (3)
  Charles Ashley (2)
  Erin E Medlin (2)
  David M Kushner (2)
  Yanmei Zheng (1)
  
  1. Department of Obstetrics and Gynecology ; Zhejiang Provincial People鈥檚 Hospital ; Hangzhou ; Zhejiang ; People鈥檚 Republic of China
  3. Zhejiang Provincial People鈥檚 Hospital ; NO.158 Shangtang Road ; Hangzhou ; Zhejiang Province ; 310014 ; China
  2. Department of Obstetrics and Gynecology ; University of Wisconsin School of Medicine and Public Health ; Madison ; Wisconsin ; USA
  
• 关键词：Uterine rupture ; Urine retention ; Misoprostol ; Mifepristone ; Laparoscopy
• 刊名：BMC Women's Health
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：15
• 期：1
• 全文大小：705 KB
• 参考文献：1. Dodd JM, Crowther CA. Misoprostol versus cervagem for the induction of labour to terminate pregnancy in the second and third trimester: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2006;125:3鈥?. CrossRef
  2. Mazouni C, Provensal M, Porcu G, Guidicelli B, Heckenroth H, Gamerre M, et al. Termination of pregnancy in patients with previous cesarean section. Contraception. 2006;73:244鈥?. CrossRef
  3. Goyal V. Uterine rupture in second-trimester misoprostol-induced abortion after cesarean delivery: a systematic review. Obstet Gynecol. 2009;113:1117鈥?3. CrossRef
  4. Nguyen TNN, Tara S, Sheila R, Blum J, Nga NT, Minh NT, et al. Mifepristone and misoprostol compared with misoprostol alone for second trimester abortion. Obstet Gynecol. 2011;118:601鈥?. CrossRef
  5. Dickinson JE, Jennings BG, Doherty DA. Mifepristone and oral, vaginal, or sublingual misoprostol for second-trimester abortion. Obstet Gynecol. 2014;123:1162鈥?. CrossRef
  6. Fox MC, Krajewski CM. Cervical preparation for second-trimester surgical abortion prior to 20聽weeks鈥?gestation: SFP Guideline #2013-4. Contraception. 2014;89:75鈥?4. CrossRef
  7. Frick AC, Drey EA, Diedrich JT, Steinauer JE. Effect of prior cesarean delivery on risk of second-trimester surgical abortion complications. Obstet Gynecol. 2010;115:760鈥?. CrossRef
  8. Sliutz G, Sanani R, Sp盲ngler-Wierrani B, Wierrani F. First trimester uterine rupture and scar pregnancy. Med Hypotheses. 2009;73:326鈥?. CrossRef
  9. Ramirez ER, Hakakha B, Dale K, Khatame M. The role of laparoscopy in the management of second trimester spontaneous uterine rupture. Obstet Gynecol. 2014;123 suppl 1:128S. CrossRef
  
• 刊物主题：Gynecology; Maternal and Child Health; Reproductive Medicine;
• 出版者：BioMed Central
• ISSN：1472-6874

文摘

Background Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock. Case presentation We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepristone and misoprostol. Uterine rupture was discovered unexpectedly on diagnostic laparoscopy. The uterine rupture was contained by dense adhesions between the omentum and bladder with the previous uterine cesarean hysterotomy scar. Conclusion This case highlights the difficulties in diagnosis of abnormal placentation and an unusual presentation of uterine rupture. This case was managed successfully laparoscopically.