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Ultrasonographic diagnosis of uterine rent at 33 weeks' gestation with a history of curettage

Article Abstract:

An ultrasound scan diagnosed the extrusion of the amniotic sac through a uterine tear. A woman who had had curettage for an incomplete miscarriage two years previously presented 33 weeks gestation with decreased fetal movements and intermittent abdominal pain. A routine scan performed 11 weeks earlier had found everything to be normal. Now, however, sonography revealed a tear in the top of the uterus through which protruded a fluid filled sac. There was virtually no amniotic fluid surrounding the fetus. Surgery revealed that the amniotic sac had ballooned through the rent. A healthy baby was delivered, and the rent was closed. Tubal ligation was also performed. An event such as this is exceedingly rare. Uterine perforation occurs less than 1% of the time during curettage. Uterine rents rarely occur in the absence of a uterine scar, and most have no consequences.

Evaluation, Surgery, Prenatal ultrasonography, Ultrasonics in obstetrics, Uterus, Pregnant, Pregnant uterus

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Uterine rupture associated with the use of misoprostol in the gravid patient with a previous cesarean section

Article Abstract:

Using misoprostol to induce labor may cause uterine rupture in women who have had a previous cesarean. In a study of 89 women with a previous cesarean, 6% of those who received misoprostol during labor experienced a uterine rupture compared to 0.2% of those who did not receive misoprostol.

Complications and side effects, Vaginal birth after cesarean, Misoprostol

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