Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report

BMC Womens Health. 2015 Jan 22;15:1. doi: 10.1186/s12905-014-0159-9.

Abstract

Background: Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock.

Case presentation: We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepristone and misoprostol. Uterine rupture was discovered unexpectedly on diagnostic laparoscopy. The uterine rupture was contained by dense adhesions between the omentum and bladder with the previous uterine cesarean hysterotomy scar.

Conclusion: This case highlights the difficulties in diagnosis of abnormal placentation and an unusual presentation of uterine rupture. This case was managed successfully laparoscopically.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents, Nonsteroidal / administration & dosage
  • Abortion, Induced* / adverse effects
  • Abortion, Induced* / methods
  • Adult
  • Cesarean Section / adverse effects*
  • Cicatrix* / etiology
  • Cicatrix* / pathology
  • Cicatrix* / physiopathology
  • Dilatation and Curettage / methods*
  • Female
  • Humans
  • Laparoscopy / methods
  • Mifepristone / administration & dosage*
  • Placenta / pathology
  • Pregnancy
  • Pregnancy Trimester, Second
  • Tissue Adhesions* / diagnosis
  • Tissue Adhesions* / physiopathology
  • Tissue Adhesions* / surgery
  • Treatment Outcome
  • Urinary Retention* / diagnosis
  • Urinary Retention* / etiology
  • Urinary Retention* / physiopathology
  • Urinary Retention* / surgery

Substances

  • Abortifacient Agents, Nonsteroidal
  • Mifepristone