Sajjad Nida, Khandwala Kumail, Memon Wasim A, Shahid Jehanzeb, Zafar Burhan
Radiology, Aga Khan University Hospital, Karachi, PAK.
Cureus. 2020 Mar 15;12(3):e7281. doi: 10.7759/cureus.7281.
We report a case of spontaneous uterine rupture in a primigravida with an unscarred uterus, which was secondary to morbidly adherent placenta proven on surgery and histology. Although rare, uterine rupture should be considered as a differential diagnosis of acute abdominal pain in pregnancies, especially when associated with free fluid, even with the absence of vaginal bleeding. Abnormal placentation is associated with spontaneous antepartum uterine rupture even in early pregnancy. Most cases in the literature have advocated emergency hysterectomy to arrest life-threatening hemorrhage.
我们报告一例初产妇子宫无瘢痕却发生自发性子宫破裂的病例，手术及组织学检查证实其继发于胎盘植入异常。尽管罕见，但子宫破裂应被视为孕期急性腹痛的鉴别诊断之一，尤其是伴有腹腔游离液体时，即便没有阴道出血。胎盘异常附着与产前自发性子宫破裂相关，甚至在孕早期也会出现。文献中的大多数病例主张行急诊子宫切除术以控制危及生命的出血。
