Combined vesicouterine rupture during second-trimester medical abortion for fetal abnormality after prior cesarean delivery: A case report

被引：2

作者：

Caruso, Giuseppe ^{[1
,2
]}

Paladini, Vanessa ^{[1
]}

D'ambrosio, Valentina ^{[1
]}

Giancotti, Antonella ^{[1
]}

Piccioni, Maria Grazia ^{[1
]}

Palaia, Innocenza ^{[1
]}

Di Donato, Violante ^{[1
]}

Perniola, Giorgia ^{[1
]}

Brunelli, Roberto ^{[1
]}

Pecorini, Francesco ^{[1
]}

Muzii, Ludovico ^{[1
]}

Scudo, Maria ^{[1
]}

机构：

[1] Sapienza Univ Rome, Policlin Umberto I, Dept Maternal & Child Hlth & Urol Sci, Rome, Italy

[2] Sapienza Univ Rome, Policlin Umberto I, Dept Maternal & Child Hlth & Urol Sci, Viale Policlin 155, I-00161 Rome, Italy

来源：

CASE REPORTS IN WOMENS HEALTH | 2021年 / 32卷

关键词：

Bladder rupture; Mifepristone; Misoprostol; Second -trimester abortion; Uterine rupture; MYOMA;

D O I：

10.1016/j.crwh.2021.e00364

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Introduction: The use of mifepristone and misoprostol for the induction of a second-trimester abortion is common and effective. However, its safety in women with previous cesarean delivery is still controversial, given the potentially higher risk of uterine rupture. Case presentation: We present the case of a 30-year-old woman (G2P1) who experienced vesicouterine rupture with escape of the dead fetus into the bladder during second-trimester induced abortion after prior cesarean delivery. She was successfully managed with conservative surgery. Conclusion: This case highlights the challenges of early diagnosis of vesicouterine rupture during second-trimester medical abortion. We argue that a close monitoring of patients with prior cesarean section is mandatory, particularly if uterine contractions suddenly stop or the fetal head fails to descend. A prompt conservative surgical approach allows preservation of fertility.

引用

页数：3

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