Ahmadi Firoozeh, Siahbazi Shiva, Akhbari Farnaz
Department of Reproductive Imaging, Reproductive Biomedicine Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
J Reprod Infertil. 2013 Jan;14(1):43-5.
Uterine rupture at the site of a previous cesarean scar is an uncommon but catastrophic complication of pregnancy, which is associated with significant maternal and fetal morbidity and mortality.
A 30-year old woman at 24th week of gestation and complaint of pain, contractions and spotting was admitted in Royan Institute in Tehran, Iran. She had a past medical history of an EP and a cesarean section delivery, respectively 4 and 2 years before hospitalization. Herniation of an amniotic membrane into the maternal bladder was found on ultrasound examination.
Risk factors of cesarean scar rupture should be considered in women undergoing subsequent pregnancies as they need extra care. Ultrasonography can be used to evaluate women with previous cesarean section to assess the risks of scar rupture during subsequent pregnancies.
既往剖宫产瘢痕部位子宫破裂是一种罕见但灾难性的妊娠并发症，与严重的母婴发病率和死亡率相关。
一名30岁女性，孕24周，因疼痛、宫缩和阴道少量出血入住伊朗德黑兰的罗扬研究所。她有既往病史，分别在入院前4年和2年有过一次宫外孕和一次剖宫产分娩。超声检查发现羊膜疝入母体膀胱。
有过剖宫产史的女性再次妊娠时应考虑剖宫产瘢痕破裂的危险因素，因为她们需要额外的护理。超声检查可用于评估有过剖宫产史的女性，以评估其再次妊娠期间瘢痕破裂的风险。
