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Case Reports
. 2015 Jan 22:15:1.
doi: 10.1186/s12905-014-0159-9.

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

Qiaoying Jiang  1 , Liwei Yang  2   3 , Charles Ashley  4 , Erin E Medlin  5 , David M Kushner  6 , Yanmei Zheng  7
Affiliations
Case Reports

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

Qiaoying Jiang et al. BMC Womens Health. .

Abstract

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.

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Figures

Figure 1
Figure 1
A length of 1.5 cm anterior wall uterine rupture along the left previous scar was found. The rupture was filled with small amounts of placenta and omentum majus.
Figure 2
Figure 2
A patch of placenta adhered to the rupture and lower uterine segment was observed when the omentum majus removed.
Figure 3
Figure 3
Specimens sent for pathological examination were confirmed to be placenta.
See this image and copyright information in PMC

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References

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