Antepartum uterine rupture in a twin gestation presenting as an advanced extrauterine pregnancy in a patient with a previous lower segment Caesarean section

作者：Ngene Nnabuike C^*; Naidoo Thinagrin D; Titus Mokete; Moodley Jagidesa; Craib Shirley; Stutterheim James

来源：Tropical Doctor, 2014, 44(3): 176-178.

DOI：10.1177/0049475514524954

• Abdominal pregnancy
• Caesarean section
• surgical wound dehiscence
• twins
• uterine rupture

We present a case of spontaneous antepartum uterine rupture through a previous lower segment Caesarean section (LSCS) scar with clinical features mimicking an advanced extrauterine pregnancy (AEUP) in a twin pregnancy at 28 weeks gestation. This report illustrates the need to consider a diagnosis of a ruptured uterus in any patient with a previous abdominal delivery who presents with mild abdominal tenderness and an ultrasonographic image suggestive of demised fetus in the intra-peritoneal cavity.

• 出版日期2014-7