Journal of Medical Ultrasonics

, Volume 38, Issue 2, pp 93–95 | Cite as

Distinctive ultrasonographic finding of complete uterine rupture in early mid-trimester

  • Masaki Ogawa
  • Tae Sugawara
  • Akira Sato
  • Toshinobu Tanaka
Case Report

Abstract

In many cases of uterine rupture, diagnosis is often impossible when characteristic clinical symptoms are absent. We encountered a case of suspected peritoneal pregnancy in which we were able to make a definitive diagnosis by ultrasonography of complete uterine rupture in early mid-trimester. The possibly distinctive finding is the high-echo area that extends from the endometrium to the uterine serosa. This contiguous, highly echogenic finding should be recognized as characteristic of complete rupture of the uterus.

Keywords

Uterine rupture Early mid-trimester Uterus bicornis Ultrasonographic finding 

References

  1. 1.
    Zwart JJ, Richters JM, Ory F, et al. Uterine rupture in The Netherlands: a nationwide population-based cohort study. Br J Obstet Gynecol. 2009;116:1069–80.CrossRefGoogle Scholar
  2. 2.
    Rozenberg P, Goffinet F, Phillippe HJ, et al. Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus. Lancet. 1996;347:281–4.PubMedCrossRefGoogle Scholar
  3. 3.
    Gotoh H, Masuzaki H, Yoshida A, et al. Predicting incomplete uterine rupture with vaginal sonography during the late second trimester in women with prior cesarean. Obstet Gynecol. 2000;95:596–600.PubMedCrossRefGoogle Scholar
  4. 4.
    Sen S, Malik S, Salhan S. Ultrasonographic evaluation of lower uterine segment thickness in patients of previous cesarean section. Int J Gynaecol Obstet. 2004;87:215–9.PubMedCrossRefGoogle Scholar
  5. 5.
    Lonky NM, Worthen N, Ross MG. Prediction of cesarean section scars with ultrasound imaging during pregnancy. J Ultrasound Med. 1989;8:15–9.PubMedGoogle Scholar
  6. 6.
    Tanik A, Ustun C, Cil E, et al. Sonographic evaluation of the wall thickness of the lower uterine segment in patients with previous cesarean section. J Clin Ultrasound. 1996;24:355–7.PubMedCrossRefGoogle Scholar
  7. 7.
    Rozenberg P, Goffinet F, Philippe HJ, et al. Thickness of the lower uterine segment: its influence in the management of patients with previous cesarean sections. Eur J Obstet Gynecol Reprod Biol. 1999;87:39–45.PubMedCrossRefGoogle Scholar
  8. 8.
    Vaknin Z, Maymon R, Mendlovic S, et al. Clinical, sonographic, and epidemiologic features of second- and early third-trimester spontaneous antepartum uterine rupture: a cohort study. Prenat Diagn. 2008;28:478–84.PubMedCrossRefGoogle Scholar
  9. 9.
    Walsh CA, Baxi LV. Rupture of the primigravid uterus: a review of the literature. Obstet Gynecol Surv. 2007;62:327–34.PubMedCrossRefGoogle Scholar
  10. 10.
    Ogbole GI, Ogunseyinde OA, Akinwuntan AL. Intrapartum rupture of the uterus diagnosed by ultrasound. Afr Health Sci. 2008;8:57–9.PubMedGoogle Scholar
  11. 11.
    Pellerito JS, Taylor KJ, Quedens-Case C, et al. Ectopic pregnancy: evaluation with endovaginal color flow imaging. Radiology. 1992;183:407–11.PubMedGoogle Scholar
  12. 12.
    Cheng PJ, Chueh HY, Qiu JT. Heterotopic pregnancy in a natural conception cycle presenting as hematometra. Obstet Gynecol. 2004;104:1195–8.PubMedCrossRefGoogle Scholar

Copyright information

© The Japan Society of Ultrasonics in Medicine 2010

Authors and Affiliations

  • Masaki Ogawa
    • 1
    • 2
  • Tae Sugawara
    • 2
  • Akira Sato
    • 2
  • Toshinobu Tanaka
    • 2
  1. 1.Perinatal Care CenterAkita University HospitalAkitaJapan
  2. 2.Department of Obstetrics and GynecologyAkita University School of MedicineAkitaJapan

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