Posterior wall uterine rupture with placenta percreata in the 18 week in non-scared uterus | ||||
| Aswan Africa Obstetrics and Gynecology Journal | ||||
| Volume 1, Issue 2 - Serial Number 1, June 2025, Page 86-96 PDF (1.41 MB) | ||||
| Document Type: Case Reports | ||||
| DOI: 10.21608/aaogj.2025.397191.1020 | ||||
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| Authors | ||||
Hossam Fahem  1; Ali Mahmoud Abdel Karemm1; Mohamed Ali Anan2
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| 1Aswan Specialty Hospital | ||||
| 2Faculty of Medicine- Aswan University | ||||
| Abstract | ||||
| Background First trimester uterine rapture is rare; and second trimester. Hence, diagnosis can be challenging as it may be confused with other causes of early pregnancy bleeding, such as ectopic pregnancy. Uterine rupture is a rare complication that can occur in the 18th week of pregnancy and posterior wall with placenta percreta. It can lead to serious maternal morbidity or mortality, which is mostly due to catastrophic bleeding. We present a case of G 3 P2 + A 29-year-old patient G3 P 2 + 0 NVD with previous D&C for 4 years, presented to emergency unit in Aswan University Hospital with severe lower abdominal pain at 18 weeks of gestation and severe vaginal bleeding. By ultrasound, show professionally two uterine cavities, one of them contain decidual like tissues and the other contain pulsating 18-week pregnancy. Conclusion In conclusion, this case contributes to the body of evidence on uterine scarring caused by D&C procedures; The risk factors, clinical presentation, diagnostic imaging, and management outlined may help in early identification and management of this rare, but life-threatening condition. | ||||
| Keywords | ||||
| uterine rupture; second trimester; placenta percreata | ||||
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