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.
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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
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
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
Alberman E, Dennis KJ (1984) Late abortions in England and Wales: report on national and confidential survey. RCOG
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
Levrant SG, Wingate M (1996) Midtrimester uterine rupture. A case report. J Reprod Med 41(3):186–190
Endres LK, Barnhart K (2000) Spontaneous second trimester uterine rupture after classical cesarean. Obstet Gynecol 96(5 Pt 2):806–808
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
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
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
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
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
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
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
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
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
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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
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DOI: https://doi.org/10.1007/s00404-006-0225-0