Kamal Mohamed Ahmed, Awadalla Sakher, Nawaz Ali
Emergency Department, NMC Royal Hospital Khalifa City, Abu Dhabi, ARE.
Emergency Department, King's College Hospital London, Dubai, ARE.
Cureus. 2023 Apr 3;15(4):e37083. doi: 10.7759/cureus.37083. eCollection 2023 Apr.
Uterine rupture is a life-threatening peripartum complication. Spontaneous uterine rupture in early pregnancy is very rare. The diagnosis of uterine rupture should be considered when a pregnant patient presents with an acute abdomen because its clinical signs in early pregnancy are non-specific and the differentiation with other acute abdominal emergencies is challenging. Here, we present a case of acute abdominal pain. The patient was a 14-week pregnant 39-year-old female (gravida 4, para 2+1) with a history of two lower-segment cesarean sections. Our preoperative diagnosis was either heterotopic pregnancy or acute abdomen. Emergency laparotomy confirmed the presence of a spontaneous uterine rupture.
子宫破裂是一种危及生命的围产期并发症。妊娠早期自发性子宫破裂非常罕见。当妊娠患者出现急腹症时，应考虑子宫破裂的诊断，因为其在妊娠早期的临床症状不具有特异性，且与其他急性腹部急症进行鉴别具有挑战性。在此，我们报告一例急腹症病例。患者为一名39岁、孕14周的女性（孕4产2 +1），有两次下段剖宫产史。我们术前的诊断是异位妊娠或急腹症。急诊剖腹探查证实存在自发性子宫破裂。
