First trimester uterine rupture previous lower segment cesarean scar

Cesarean scar pregnancy is a rare variant of ectopic pregnancy where the fertilized ovum gets implanted in the myometrium of the previous cesarean scar. The incidence of CSP among ectopic pregnancies is 6.1% and it is seen in approximately 1 in 2000 normal pregnancies.As trophoblastic invasion of the myometrium can result in uterine rupture and catastrophic hemorrhage termination of pregnancy is the treatment of choice if diagnosed in the first trimester. Expectant treatment has a poor prognosis and may lead to uterine rupture which may require hysterectomy and subsequent loss of fertility. We present a case report of a 24year old femaleG2P1L1with ruptured cesarean scar pregnancy who underwent emergency laparotomy and subsequently hysterectomy. In this case report, we aim to discuss ruptured cesarean scar pregnancy as obstetric emergency and methods by which we can make an early diagnosis that can be managed appropriately as to prevent maternal morbidity and mortality.

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Uterine rupture of cesarean scar related to spontaneous abortion in the first trimester

Journal of Obstetrics and Gynaecology Research ◽

10.1111/j.1341-8076.2004.00152.x ◽

2004 ◽

Vol 30 (1) ◽

pp. 34-36 ◽

Cited By ~ 16

Author(s):

Koji Matsuo ◽

Koichiro Shimoya ◽

Tsuneo Shinkai ◽

Hiroshi Ohashi ◽

Masayasu Koyama ◽

...

Keyword(s):

Spontaneous Abortion ◽

Uterine Rupture ◽

First Trimester ◽

Cesarean Scar

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Spontaneous rupture of an unscarred uterus in early pregnancy: a rare but life-threatening emergency

BMJ Case Reports ◽

10.1136/bcr-2018-228493 ◽

2019 ◽

Vol 12 (5) ◽

pp. e228493 ◽

Cited By ~ 2

Author(s):

Bedayah Amro ◽

Ghassan Lotfi

Keyword(s):

Early Pregnancy ◽

Uterine Rupture ◽

Laparoscopic Approach ◽

First Trimester ◽

Rare Occurrence ◽

Spontaneous Uterine Rupture ◽

First Case ◽

Life Threatening ◽

First Trimester Of Pregnancy ◽

Underlying Risk

Spontaneous uterine rupture during early pregnancy is an extremely rare occurrence and may vary in presentation and course of events, hence the clinical diagnosis is often challenging. We present our experience with two such cases of spontaneous uterine rupture in the first trimester of pregnancy without any identifiable underlying risk factors. The first case was at 12 weeks of gestation and the second case was at 6 weeks gestational age (GA). Both cases were diagnosed and managed by the laparoscopic approach. We are reporting the earliest documented GA in which spontaneous uterine rupture occurred. So far, the earliest GA reported in the literature according to our knowledge was at 7+3 weeks. Access to a laparoscopic facility is crucial in the early definitive diagnosis and prompt management of these cases, since this may significantly reduce the risk of severe morbidity and mortality.

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Cesarean scar pregnancy is associated with abnormal implantation but not macroscopic myometrial invasion in early first trimester of pregnancy

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.24790 ◽

2021 ◽

Author(s):

F. D'Antonio ◽

G. Cali ◽

J. Palacios‐Jaraquemada ◽

A. Khalil ◽

I. E. Timor‐Tritsch

Keyword(s):

Myometrial Invasion ◽

First Trimester ◽

Cesarean Scar Pregnancy ◽

Cesarean Scar ◽

First Trimester Of Pregnancy

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Surgical management of first‐trimester heterotopic dichorionic diamniotic Cesarean scar pregnancy

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.24830 ◽

2021 ◽

Author(s):

E. Krispin ◽

M. A. Belfort ◽

A. A. Shamshirsaz

Keyword(s):

Surgical Management ◽

First Trimester ◽

Cesarean Scar Pregnancy ◽

Cesarean Scar

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A Consequence of Cesarean Delivery: First-Trimester Cesarean Scar Pregnancy

First-Trimester Ultrasound ◽

10.1007/978-3-319-20203-7_17 ◽

2016 ◽

pp. 299-325

Author(s):

Ilan E. Timor-Tritsch ◽

Ana Monteagudo ◽

Terri-Ann Bennett

Keyword(s):

Cesarean Delivery ◽

First Trimester ◽

Cesarean Scar Pregnancy ◽

Cesarean Scar

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Pregnancy outcome of a patient following myomectomy performed during first trimester for red degeneration of fibroid

Bangabandhu Sheikh Mujib Medical University Journal ◽

10.3329/bsmmuj.v6i1.29090 ◽

2016 ◽

Vol 6 (1) ◽

pp. 69

Author(s):

Asma Habib ◽

Shahla Khatun ◽

Nafisa Khanum

Keyword(s):

Surgical Intervention ◽

First Trimester ◽

Female Child ◽

Clinical Findings ◽

Lower Segment ◽

Early Gestation ◽

Lower Segment Caesarean Section ◽

Healthy Female ◽

The Common ◽

Red Degeneration

Pain due to red degeneration of fibroid during pregnancy is usually associated with large myomas. Necrobiosis / red degeneration typically manifests itself about midpregnancy when Lhe leiomyoma suddenly becomes acutely painful, enlarged and tender. The common differential diagnosis of this condition are torsion of the pedicle of an ovarian cyst/a leiomyoma, abruplion placentae, acute pyelitis or any abdominal catastrophe. Ultrasound can easily delineate the presence of myomas of mixed echogenicity along with pregnancy and clinical findings usually suggest the diagnosis of pregnancy complicated by red degeneration of fibroid. The acute pain usually subsides within 3-10 days of conservative treatment. Only refractory cases (2% of patients) may demand surgical intervention in early gestation with the known risk of miscarriage. Here we report a pregnancy managed at 13 weeks by myomectomy for red degeneration. The patient ultimately delivered a healthy female child at 38 weeks by lower segment caesarean section.

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