A case of scarred uterine rupture at 11 weeks of gestation having a uterine scar places induced by in vitro fertilization-embryo transfer

  • Akiko Takashima | takashima-04@sakura.med.toho-u.ac.jp Department of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, Japan.
  • Naoki Takeshita Department of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, Japan.
  • Toshihiko Kinoshita Department of Obstetrics and Gynecology, Toho University Medical Center, Sakura Hospital, Japan.

Abstract

Having a uterine scar places a woman at increased risk of complications, such as Cesarean scar pregnancy (CSP), uterine rupture, placenta previa, and placenta accreta, in subsequent pregnancies. We report a case of uterine rupture at 11 weeks of gestation in a woman with a previous Cesarean section. A 43-year-old woman with a history of abdominal myomectomy and Cesarean section had her pregnancy induced by in vitro fertilization with donor eggs. The exact location of the gestational sac was identified on her first day of hospitalization, and her pregnancy was suspected to be a CSP. The following day, the patient complained of sudden lower abdominal pain. A uterine scar rupture was diagnosed, and an emergency surgery was required. It may be that first-trimester screening could allow the early recognition of patients at risk for these perinatal complications.

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Published
2018-05-10
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Section
Case Reports
Keywords:
Cesarean scar pregnancy, uterine rupture, in vitro fertilization-embryo transfer
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How to Cite
Takashima, A., Takeshita, N., & Kinoshita, T. (2018). A case of scarred uterine rupture at 11 weeks of gestation having a uterine scar places induced by in vitro fertilization-embryo transfer. Clinics and Practice, 8(2). https://doi.org/10.4081/cp.2018.1038