Spontaneous uterine rupture during second trimester is a rarity in obstetrics. Rupture of the pregnant uterus is considered spontaneous if the rupture occurs without contractile activity of the myometrium. An unusual case of asymptomatic spontaneous uterine scar dehiscence in second trimester with previous three lower uterine segment caesarean sections following endomyometritis is presented here.
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http://dx.doi.org/10.1007/s00404-009-0960-0 | DOI Listing |
Radiol Case Rep
March 2025
Department of Obstetrics and Gynecology, Airlangga University, Soetomo General Hospital, Surabaya, Indonesia.
Abdominal pregnancy (AP) is a rare event of globally reported pregnancy and is significantly challenging to diagnose because of various symptoms. Therefore, we aimed to present a case of a 26-year-old female with unexpected AP of third pregnancy found during emergency fetal evacuation laparotomy. The possible scenario was found to be fetus implanted into the fibroid scar of her obstetric history, leading to complications with uterine rupture.
View Article and Find Full Text PDFTaiwan J Obstet Gynecol
January 2025
Department of Gynecology & Obstetrics, Beijing friendship hospital, Capital Medical University, No. 95, Yong'an Road, Xi-cheng district, Beijing, China. Electronic address:
Objective: To study immediate therapeutic outcomes, subsequent fertility effects and menstrual changes in cesarean scar pregnancy patients who received uterine artery embolization with or without methotrexate followed by ultrasound guided curettage.
Materials And Methods: Totally, 82 patients who met the inclusion criteria were enrolled in our study and divided into two groups. Group I included 50 patients who received uterine artery embolization and ultrasound guided curettage, and Group II had 32 patients who received uterine artery embolization plus methotrexate and ultrasound guided curettage.
J Family Med Prim Care
December 2024
Department of Obstetrics and Gynecology, Society for Health Allied Research and Education, MediCiti Institute of Medical Sciences, Hyderabad, Telangana, India.
Background: A ten-group classification system of caesarean section was proposed by Michael Robson in 2001. It is helpful in comparing the rates of caesarean section between hospitals. The objective of this study was to determine the caesarean section rates to analyse trends of caesarean section and classify according to Robson's categories.
View Article and Find Full Text PDFBiomaterials
January 2025
Translational Medicine Research Center, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China; Greater Bay Area Institute of Precision Medicine (Guangzhou), Fudan University, Guangzhou, 511462, China. Electronic address:
Cesarean section (CS) is highly prevalent surgery among females. However, current absorbable anti-adhesion membranes used clinically can partially prevent postoperative adhesions but show limited efficacy in tissue regeneration, leaving post-cesarean women at risk for severe complications including cesarean scar pregnancy, placenta previa, and uterine rupture. Herein, we designed a fully amniotic membrane (AM)-derived biomimetic nanostructural materials (AM-BNMs) as an anti-adhesion barrier, and validated its therapeutic efficacy in a rat CS model.
View Article and Find Full Text PDFJ Obstet Gynaecol Res
January 2025
Center for Perinatal, Maternal and Neonatal Medicine, Niigata University Medical and Dental Hospital, Niigata, Japan.
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