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Case Reports
. 2021 Dec 1;14(12):e244801.
doi: 10.1136/bcr-2021-244801.

Posterior uterine rupture in early first trimester

Isabela Dos Anjos Siqueira  1 , Sita Murugappan  2 , Paul Howat  2 , Arzoo Khalid  2
Affiliations
Case Reports

Posterior uterine rupture in early first trimester

Isabela Dos Anjos Siqueira et al. BMJ Case Rep. .

Abstract

Uterine rupture can be associated with severe maternal and neonatal morbidity and mortality. It should be considered as a differential diagnosis in all pregnant women who present with acute abdomen, haemoperitoneum and have specific risk factors, even during the first trimester. This is a case report of a 25-year-old woman who presented to emergency department with abdominal pain and vaginal bleeding at approximately 6-8 weeks gestation. She developed an acute surgical abdomen and required urgent surgical management. Despite intervention, she had massive haemorrhage, disseminate intravascular coagulation, admission to intensive care unit and prolonged hospital stay as complications. Posterior uterine wall rupture while rare, must be considered as a differential diagnosis as early intervention is crucial to prevent bad outcomes.

Keywords: pregnancy; reproductive medicine; ultrasonography.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
First trimester ultrasound showing a single live intrauterine pregnancy at 7 weeks gestation.
Figure 2
Figure 2
Ultrasound performed after acute presentation to emergency department revealing large echogenic and hypoechoic tissue in uterine cavity.
Figure 3
Figure 3
Intraoperative image of the posterior uterine rupture.
Figure 4
Figure 4
Uterus post repair.
See this image and copyright information in PMC

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