Tsegaye Mesfin Ayalew, Mekonnen Zelalem Adugna, Lemma Dawit Takele, Adugna Alemayehu Nigusssie, Tesfay Rebecca Haile
Dilla University, College of Medicine and Health Sciences, Department of Obstetrics and Gynecology, Dilla, Ethiopia.
Case Rep Womens Health. 2024 Dec 14;45:e00676. doi: 10.1016/j.crwh.2024.e00676. eCollection 2025 Mar.
Uterine rupture is a rare but serious complication that predominantly occurs in the third trimester of pregnancy. It is exceptionally uncommon in the second trimester, particularly in the presence of uterine anomalies such as a bicornuate uterus or uterus didelphys. This case report presents a significant instance of second-trimester uterine rupture associated with a bicornuate uterus, resulting in a life-threatening intra-abdominal hemorrhage of approximately 4000 mL. The case report details the clinical presentation, diagnostic challenges, and management strategies used in this case, highlighting the critical importance of prompt recognition and intervention in similar scenarios to improve maternal outcomes.
子宫破裂是一种罕见但严重的并发症，主要发生在妊娠晚期。在妊娠中期极为罕见，尤其是存在双角子宫或双子宫等子宫畸形的情况下。本病例报告呈现了一例与双角子宫相关的妊娠中期子宫破裂的重要病例，导致腹腔内大出血约4000毫升，危及生命。该病例报告详细描述了本病例的临床表现、诊断挑战及所采用的管理策略，强调了在类似情况下迅速识别和干预对于改善孕产妇结局的至关重要性。
