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Review

First Trimester Uterine Rupture: A Case Report and Literature Review

Department of Gynecology and Obstetrics, School of Medicine of Udine, 33100 Udine, Italy
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Int. J. Environ. Res. Public Health 2020, 17(8), 2976; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082976
Received: 27 March 2020 / Revised: 17 April 2020 / Accepted: 21 April 2020 / Published: 24 April 2020
(This article belongs to the Special Issue Reproductive Therapy and Perinatal Outcome)
The aim is to report a case of spontaneous uterine rupture in the first trimester of pregnancy and to review the literature on the topic. Methods: A literature search was performed using PubMed and Scopus. Relevant English articles were identified without any time or study limitations. The data were aggregated, and a summary statistic was calculated. Results: A 35-year-old gravida 5, para 2 was admitted at our department because of fainting and abdominal pain. The woman had a first-trimester twin pregnancy and a history of two previous cesarean sections (CSs). Suspecting a uterine rupture, an emergency laparotomy was performed. The two sacs were completely removed, and the uterine rupture site was closed with a double-layer suture. The patient was discharged from hospital four days later in good condition. On the basis of this experience, a total of 76 case reports were extracted from PubMed and included in the review. Fifty-three patients out of 76 (69.74%) underwent previous surgery on the uterus. Most women (67.92%) had a CS, and in this group a cesarean scar pregnancy (CSP) or a placenta accreta spectrum (PAS) disorder was found to be the etiology in 77.78% of cases. Furthermore, 35.85% of the women had hysterectomy after uterine rupture. Twenty-three patients out of 76 (30.26%) had an unscarred uterus. Of this group, most women presented a uterine anomaly (43.48%). Moreover, 17.39% of these women had a hysterectomy. Conclusion: According to the literature, the current pandemic use of CS explains most cases of first-trimester uterine rupture. View Full-Text
Keywords: first trimester; uterine rupture; cesarean section first trimester; uterine rupture; cesarean section
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MDPI and ACS Style

Cecchini, F.; Tassi, A.; Londero, A.P.; Baccarini, G.; Driul, L.; Xodo, S. First Trimester Uterine Rupture: A Case Report and Literature Review. Int. J. Environ. Res. Public Health 2020, 17, 2976. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082976

AMA Style

Cecchini F, Tassi A, Londero AP, Baccarini G, Driul L, Xodo S. First Trimester Uterine Rupture: A Case Report and Literature Review. International Journal of Environmental Research and Public Health. 2020; 17(8):2976. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082976

Chicago/Turabian Style

Cecchini, Fabiana, Alice Tassi, Ambrogio P. Londero, Giovanni Baccarini, Lorenza Driul, and Serena Xodo. 2020. "First Trimester Uterine Rupture: A Case Report and Literature Review" International Journal of Environmental Research and Public Health 17, no. 8: 2976. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082976

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