Case report of a ruptured uterine sacculation in the 19th week of pregnancy
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Abstract
Background
Uterine sacculation with a resulting uterine rupture is a rare complication in pregnant patients. Fibroids or a previous cesarean section increase the risk of severe complications such as a uterine rupture due to increased pressure and the elongation of the affected uterine segment. Prenatal clinical diagnosis and medical imaging of a uterine sacculation and rupture of the uterus remain challenging, even with the most modern imaging techniques. An early diagnosis is essential to reduce severe complications.
Case presentation
Here, we report the case of a 38-year-old female patient II G I P in the 19th week of pregnancy with a ruptured uterine sacculation.
Conclusion
This case report is intended to raise awareness for the importance of the knowledge and supervision of a retroverted uterus in early pregnancy, especially after a cesarean section.
Acknowledgments
Thanks to everyone involved, for their constructive cooperation and support on this article.
Ethical approval statement: This article does not contain any studies with human participants performed by any of the authors. The written informed consent of the patient was given.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission. J.L. Scharf: case analysis, diagnosis of the patient and patient care, literature review, manuscript writing and editing; C. Kotanidis: case analysis, diagnosis of the patient and patient care, manuscript editing; G. Gitas, D. Hartge, A. Rody: manuscript editing.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
Conflict of interest: The authors declare that they have no conflict of interest.
Informed consent: Informed consent was obtained from the patient for publication of this case report.
References
[1] DeFriend D, Dubbins P, Hughes P. Sacculation of the uterus and placenta accreta: MRI appearances. Br J Radiol. 2000;73:1323–5.10.1259/bjr.73.876.11205679Suche in Google Scholar
[2] Dierickx I, Mesens T, Van Holsbeke C, Meylaerts L, Voets W, Gyselaers W. Recurrent incarceration and/or sacculation of the gravid uterus: a review. J Matern-Fetal Neonatal Med. 2010;23:776–80.10.3109/14767050903410680Suche in Google Scholar
[3] Saha A, Bhargava VL. Ruptured uterine sacculation: a rare presentation of ectopic implantation. Acta Obstet Gynecol Scand. 1988;67:751–3.10.3109/00016349809004303Suche in Google Scholar
[4] Smith JJ, Schwartz ED, Romney SL. Anterior sacculation of the pregnant uterus. Obstet Gynecol. 1962;20:536–8.Suche in Google Scholar
[5] Hawkins L, Robertson D, Frecker H, Berger H, Satkunaratnam A. Spontaneous uterine rupture and surgical repair at 21 weeks gestation with progression to live birth: a case report. BMC Pregnancy Childbirth. 2018;18:132.10.1186/s12884-018-1761-xSuche in Google Scholar
[6] Tauscher A, Linder N, Stepan H. Schwierige Zervixdarstellung bei Verdacht auf Placenta praevia totalis. Gynakologe. 2014;47:521–3.10.1007/s00129-014-3366-4Suche in Google Scholar
[7] Gottschalk E, Siedentopf JP, Schoenborn I, Gartenschlaeger S, Dudenhausen J, Henrich W. Prenatal sonographic and MRI findings in a pregnancy complicated by uterine sacculation: case report and review of the literature. Ultrasound Obstet Gynecol. 2008;32:582–6.10.1002/uog.6121Suche in Google Scholar
[8] van Deventer H. The Art of Midwifery, Improved. London: Curll, Pemberton and Taylor; 1716.Suche in Google Scholar
[9] Hachisuga N, Hidaka N, Fujita Y, Fukushima K, Wake N. Significance of pelvic magnetic resonance imaging in preoperative diagnosis of incarcerated retroverted gravid uterus with a large anterior leiomyoma: a case report. J Reprod Med. 2012;57:77–80.Suche in Google Scholar
[10] Sadath H, Carpenter R, Adam K. Uterine incarceration in a primigravid retroverted bicornuate uterus. BMJ Case Rep. 2016;2016:bcr2016215245.10.1136/bcr-2016-215245Suche in Google Scholar
[11] DeLee J. Displacements of the uterus. Philadelphia and London: The principles and practice of obstetrics: W.B. Saunders Co.; 1913:408–9.Suche in Google Scholar
[12] Cehelsky MR, Mason VC. Anterior sacculation of pregnant uterus at term. Am J Obstet Gynecol. 1967;99:1000–5.10.1016/0002-9378(67)90258-XSuche in Google Scholar
[13] Matsushita H, Watanabe K, Wakatsuki A. Management of a second trimester miscarriage in a woman with an incarcerated retroverted uterus. J Obstet Gynaecol. 2014;34:272–3.10.3109/01443615.2013.851181Suche in Google Scholar PubMed
[14] Lettieri L, Rodis JF, McLean DA, Campbell WA, Vintzileos AM. Incarceration of the gravid uterus. Obstet Gynecol Surv. 1994;49:642–6.10.1097/00006254-199409000-00026Suche in Google Scholar
[15] von Tucher E, Siedentopf J, Schoenborn I, Gartenschlaeger S, Dudenhausen J, Henrich W. Ein Fall von Uterussacculation. Geburtsh Frauenheilk. 2011;71:B13.10.1055/s-0031-1295381Suche in Google Scholar
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- A rare case of intra-uterine blood transfusion for fetal anemia caused by a giant placental chorioangioma
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