| Autor: |
Giuseppe Caruso, Vanessa Paladini, Valentina D'ambrosio, Antonella Giancotti, Maria Grazia Piccioni, Innocenza Palaia, Violante Di Donato, Giorgia Perniola, Roberto Brunelli, Francesco Pecorini, Ludovico Muzii, Maria Scudo |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Case Reports in Women's Health, Vol 32, Iss , Pp e00364- (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2214-9112 |
| DOI: |
10.1016/j.crwh.2021.e00364 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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