Saghafi Nafiseh, Maleki Asieh, Ayati Sedigheh, Shirinzadeh Laya
Department of Obstetrics and Gynecology, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Med Sci. 2019 Sep;44(5):422-426. doi: 10.30476/IJMS.2019.44948.
Uterine rupture often occurs in the third trimester of pregnancy or during labor. Its occurrence in early pregnancy and in the absence of any predisposing factors is very rare. Untimely diagnosis and a low index of suspicion could be life-threatening. Here we report the case of a 29-year-old woman with a history of two previous cesarean sections. An ultrasound report revealed a dead fetus in the abdominal cavity at 14 weeks into the abdominal cavity due to a rupture at the site of the previous cesarean scar. Awareness of probable diagnosis of uterine rupture in a pregnant woman with abdominal pain could be important for timely diagnosis and proper management.
子宫破裂常发生于妊娠晚期或分娩过程中。在妊娠早期且无任何诱发因素的情况下发生子宫破裂极为罕见。诊断不及时以及怀疑指数较低可能会危及生命。在此，我们报告一例29岁有两次剖宫产史的女性病例。超声报告显示，在孕14周时，因前次剖宫产瘢痕部位破裂，腹腔内出现死胎。对于有腹痛症状的孕妇，意识到可能诊断为子宫破裂对于及时诊断和妥善处理至关重要。
