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A case of uterine rupture diagnosed based on routine focused assessment with sonography for obstetrics

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Abstract

The patient was a 38-year-old primigravida woman with a previous history of myomectomy via laparotomy. At 30 weeks of gestation, she visited our emergency center because of sudden severe abdominal pain. Routine focused assessment with sonography for obstetrics (FASO) indicated no echo-free space at Douglas’ pouch or between the spleen and kidney; however, echo-free spaces were visualized around the intestinal tract and at Morrison’s pouch. Therefore, a diagnosis of hemoperitoneum due to uterine rupture was suspected, and emergency cesarean section was planned. During surgery, a small defect of the myometrium was found on the posterior to fundal uterine wall, with bleeding from the defect. We believe that routine FASO is useful for detecting emergency conditions, including uterine rupture during pregnancy and postpartum. When a pregnant woman complains of abdominal pain, an assessment with FASO is strongly recommended in the daily clinical setting.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan

    Maiko Tauchi, Junichi Hasegawa, Tomohiro Oba, Tatsuya Arakaki, Hiroko Takita, Masamitsu Nakamura & Akihiko Sekizawa

Authors
  1. Maiko Tauchi
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  2. Junichi Hasegawa
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  3. Tomohiro Oba
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  4. Tatsuya Arakaki
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  5. Hiroko Takita
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  6. Masamitsu Nakamura
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  7. Akihiko Sekizawa
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Corresponding author

Correspondence to Junichi Hasegawa.

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Conflict of interest

The authors declare no relationships, financial or otherwise, that could lead to a conflict of interest.

Ethical considerations

All of the procedures performed in the present study were carried out in accordance with the ethical standards of the responsible committees on human experimentation (institutional and national) and the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients included in the study.

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Tauchi, M., Hasegawa, J., Oba, T. et al. A case of uterine rupture diagnosed based on routine focused assessment with sonography for obstetrics. J Med Ultrasonics 43, 129–131 (2016). https://doi.org/10.1007/s10396-015-0662-0

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  • DOI: https://doi.org/10.1007/s10396-015-0662-0

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