Skip to main content
Log in

Silent rupture of unscarred uterus: an unusual presentation at second trimester abortion

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Rupture of unscarred uterus during the second trimester is rare. A case of ruptured uterus in a multiparous woman is presented. To our knowledge, this might be the first reported case in the English literature of uterine rupture during second trimester termination of pregnancy using ethacridine lactate. This case is also rare as uterine rupture is presented with an insidious course rather than acute, thus delaying the diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Zauva BL, Gupta I, Dhall GI (1989) Mid trimester abortion by extra amniotic emcrydil versus normal saline. Aust NZJ Obstet Gynecol 29:3(2):299–302

    Google Scholar 

  2. Bhonsale RA, Valvi BR, Sutaria UD (1987) Mid trimester abortion by extra ovular ethacridine lactate and hazards of oxytocics used for synergism. J Obstet Gynecol India 37:48–53

    Google Scholar 

  3. Hill NC, Mackenzie IZ (1989) Second trimester termination using extra amniotic or intraamniotic prostaglandin E2: an analysis of efficacy and complications. BJOG 96:1424–1431

    Article  CAS  Google Scholar 

  4. Alberman E, Dennis KJ (1984) Late abortions in England and Wales: report on national and confidential survey. RCOG

  5. Lurie S, Hagay Z, Borenstein R (1993) Extraovular PGE2 and oxytocin-implicated uterine rupture during midtrimester termination of pregnancy. Adv Contracept 9(4):331–333

    Article  PubMed  CAS  Google Scholar 

  6. Levrant SG, Wingate M (1996) Midtrimester uterine rupture. A case report. J Reprod Med 41(3):186–190

    PubMed  CAS  Google Scholar 

  7. Endres LK, Barnhart K (2000) Spontaneous second trimester uterine rupture after classical cesarean. Obstet Gynecol 96(5 Pt 2):806–808

    Article  PubMed  CAS  Google Scholar 

  8. Al-Hussaini TK (2001) Uterine rupture in second trimester abortion in a grand multiparous woman. A complication of misoprostol and oxytocin. Eur J Obstet Gynecol Reprod Biol 96(2):218–219

    Article  PubMed  CAS  Google Scholar 

  9. LeMaire WJ, Louisy C, Dalessandri K, Muschenheim F (2001) Placenta percreta with spontaneous rupture of an unscarred uterus in the second trimester. Obstet Gynecol 98(5 Pt 2):927–929

    Article  PubMed  CAS  Google Scholar 

  10. Agarwal U, Kriplani A, Arora V (2002) Anterior transverse cervical rupture following intra-amniotic prostaglandin induced mid-trimester abortion. J Postgrad Med 48(1):71–72

    PubMed  CAS  Google Scholar 

  11. Rajesh U, Vyjayanthi S, Piskorowskyj N (2002) Silent uterine rupture following second trimester medical termination of pregnancy in a woman with an artificial urinary sphincter and three previous caesarean sections. J Obstet Gynaecol 22(6):687

    Article  PubMed  CAS  Google Scholar 

  12. Letourneur B, Parant O, Tofani V, Berrebi A (2002) Uterine rupture on unscarred uterus following labor induction for 2(nd) trimester termination of pregnancy with oral misoprostol: conservative management. J Gynecol Obstet Biol Reprod (Paris) 31(4):371–373

    CAS  Google Scholar 

  13. Bagga R, Chaudhary N, Kalra J (2004) Rupture in an unscarred uterus during second trimester pregnancy termination with mifepristone and misoprostol. Int J Gynaecol Obstet 87(1):42–43

    Article  PubMed  CAS  Google Scholar 

  14. Topuz S (2004) Spontaneous uterine rupture at an unusual site due to placenta percreta in a 21-week twin pregnancy with previous cesarean section. Clin Exp Obstet Gynecol 31(3):239–241

    PubMed  CAS  Google Scholar 

  15. Samuels TA, Awonuga A (2005) Second-trimester rudimentary uterine horn pregnancy: rupture after labor induction with misoprostol. Obstet Gynecol 106(5 Pt 2):1160–1162

    PubMed  Google Scholar 

  16. Nayki U, Taner CE, Mizrak T, Nayki C, Derin G (2005) Uterine rupture during second trimester abortion with misoprostol. Fetal Diagn Ther 20(5):469–471

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Charu Chanana.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Malhotra, N., Chanana, C. Silent rupture of unscarred uterus: an unusual presentation at second trimester abortion. Arch Gynecol Obstet 275, 283–285 (2007). https://doi.org/10.1007/s00404-006-0225-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-006-0225-0

Keywords

Navigation