Intravesical fetus after second-trimester uterine rupture: a case report
Authors: Mohamed Mahmoud Abdelhamid Ahmed Elmezaien, Rania Hassan Mostafa Ahmed
Background: Second-trimester miscarriage can be managed by surgical or medical methods, which are generally safe. However, rare but life-threatening complications like rupture of the uterus might occur; which may present atypically. Case presentation: A 31-year-old multigravida woman with a history of prior four cesarean deliveries presented with a missed miscarriage at 16 weeks gestation. After proper counseling, she opted to proceed with medical management with misoprostol. Six hours after the fifth dose the patient started to complain of hematuria. Ultrasound scan showed an empty uterus with the fetus inside the urinary bladder. Laparotomy was done revealing a ruptured uterus at the site of the previous scar, with the fetus and placenta inside the urinary bladder. Conclusion: Second-trimester uterine rupture may have atypical presentation. High index of suspicion, guided by imaging techniques, is essential for early diagnosis to reduce maternal morbidity.
Keywords: Uterine rupture, second trimester, misoprostol, hematuria, case report
Authors
Correspondence to:
Rania Hassan Mostafa Ahmed, Department of Gynecology and Obstetrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt raneyah@gmail.com
Publication history:
Received 25 Sep 2020
Revised 28 Oct 2020
Accepted 04 Dec 2020
Published online 01 Feb 2021
Published in print 27 Feb 2021
Elmezaien MMAA, Ahmed RHM. Intravesical fetus after second-trimester uterine rupture: a case report. EJMCR. 2021; 5(2): 55-58. doi:
10.24911/ejmcr/173-1601058983
Elmezaien MMAA, Ahmed RHM. Intravesical fetus after second-trimester uterine rupture: a case report. https://www.ejmcr.com/?mno=137994 [Access: May 15, 2024]. doi:
10.24911/ejmcr/173-1601058983
Elmezaien MMAA, Ahmed RHM. Intravesical fetus after second-trimester uterine rupture: a case report. EJMCR. 2021; 5(2): 55-58. doi:
10.24911/ejmcr/173-1601058983
Elmezaien MMAA, Ahmed RHM. Intravesical fetus after second-trimester uterine rupture: a case report. EJMCR. (2021), [cited May 15, 2024]; 5(2): 55-58. doi:
10.24911/ejmcr/173-1601058983
Elmezaien, M. M. A. A. & Ahmed, . R. H. M. (2021) Intravesical fetus after second-trimester uterine rupture: a case report. EJMCR, 5 (2), 55-58. doi:
10.24911/ejmcr/173-1601058983
Elmezaien, Mohamed Mahmoud Abdelhamid Ahmed, and Rania Hassan Mostafa Ahmed. 2021. Intravesical fetus after second-trimester uterine rupture: a case report. European Journal of Medical Case Reports, 5 (2), 55-58. doi:
10.24911/ejmcr/173-1601058983
Elmezaien, Mohamed Mahmoud Abdelhamid Ahmed, and Rania Hassan Mostafa Ahmed. "Intravesical fetus after second-trimester uterine rupture: a case report." European Journal of Medical Case Reports 5 (2021), 55-58. doi:
10.24911/ejmcr/173-1601058983
Elmezaien, Mohamed Mahmoud Abdelhamid Ahmed, and Rania Hassan Mostafa Ahmed. "Intravesical fetus after second-trimester uterine rupture: a case report." European Journal of Medical Case Reports 5.2 (2021), 55-58. Print. doi:
10.24911/ejmcr/173-1601058983
Elmezaien, M. M. A. A. & Ahmed, . R. H. M. (2021) Intravesical fetus after second-trimester uterine rupture: a case report. European Journal of Medical Case Reports, 5 (2), 55-58. doi:
10.24911/ejmcr/173-1601058983