Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report

BACKGROUND: Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock. CASE PRESENTATION: We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepr...

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Autores principales: Jiang, Qiaoying, Yang, Liwei, Ashley, Charles, Medlin, Erin E, Kushner, David M, Zheng, Yanmei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310148/
https://www.ncbi.nlm.nih.gov/pubmed/25608736
http://dx.doi.org/10.1186/s12905-014-0159-9
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author Jiang, Qiaoying
Yang, Liwei
Ashley, Charles
Medlin, Erin E
Kushner, David M
Zheng, Yanmei
author_facet Jiang, Qiaoying
Yang, Liwei
Ashley, Charles
Medlin, Erin E
Kushner, David M
Zheng, Yanmei
author_sort Jiang, Qiaoying
collection PubMed
description BACKGROUND: Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock. CASE PRESENTATION: We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepristone and misoprostol. Uterine rupture was discovered unexpectedly on diagnostic laparoscopy. The uterine rupture was contained by dense adhesions between the omentum and bladder with the previous uterine cesarean hysterotomy scar. CONCLUSION: This case highlights the difficulties in diagnosis of abnormal placentation and an unusual presentation of uterine rupture. This case was managed successfully laparoscopically.
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spelling pubmed-43101482015-01-30 Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report Jiang, Qiaoying Yang, Liwei Ashley, Charles Medlin, Erin E Kushner, David M Zheng, Yanmei BMC Womens Health Case Report BACKGROUND: Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock. CASE PRESENTATION: We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepristone and misoprostol. Uterine rupture was discovered unexpectedly on diagnostic laparoscopy. The uterine rupture was contained by dense adhesions between the omentum and bladder with the previous uterine cesarean hysterotomy scar. CONCLUSION: This case highlights the difficulties in diagnosis of abnormal placentation and an unusual presentation of uterine rupture. This case was managed successfully laparoscopically. BioMed Central 2015-01-22 /pmc/articles/PMC4310148/ /pubmed/25608736 http://dx.doi.org/10.1186/s12905-014-0159-9 Text en © Jiang et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Jiang, Qiaoying
Yang, Liwei
Ashley, Charles
Medlin, Erin E
Kushner, David M
Zheng, Yanmei
Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report
title Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report
title_full Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report
title_fullStr Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report
title_full_unstemmed Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report
title_short Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report
title_sort uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310148/
https://www.ncbi.nlm.nih.gov/pubmed/25608736
http://dx.doi.org/10.1186/s12905-014-0159-9
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