Spontaneous uterine rupture in a primigravid woman in the early third trimester attributed to adenomyosis: A case report and review of the literature
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This case report details a spontaneous uterine rupture in a primigravid woman's unscarred uterus during early third trimester pregnancy, ultimately attributed to adenomyosis.
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Abstract
We report a rare case of spontaneous uterine rupture of an unscarred uterus caused by adenomyosis in the early third trimester. A 33-year-old primigravid woman was referred to our department because of severe acute abdominal pain and signs and symptoms of hemorrhagic shock. Ultrasound exanimation performed at admission revealed a living, intrauterine fetus of 28 weeks gestational age with reduced amniotic fluid and presence of free peritoneal fluid. The fetal heart rate was non-reassuring with variable decelerations and severe fetal bradycardia. Emergency cesarean section revealed massive hemoperitoneum and complete rupture in the uterine fundus. Subtotal peripartum hysterectomy with conservation of adnexae was performed. Histological examination revealed adenomyosis at the site of uterine rupture.
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Cited by (24)
- Spontaneous uterine rupture due to adenomyosis in a nongravid, nulliparous woman: A case report 2025
- Successful treatment of large adenomyosis with transcervical radiofrequency ablation in a high-risk patient: A case report and short review 2025
- Adenomyosis Complicated With Uterine Rupture During Pregnancy 2025
- A case report of adenomyosis-induced spontaneous rupture in an unscarred and unpregnant uterus 2024
- Tumor rupture and partial gut obstruction: Atypical presentations in a patient with adenomyosis 2023
- Uterine rupture of an unscarred gravid uterus at term attributed to adenomyosis 2023
- Uterine rupture due to adenomyosis in an adolescent: A case report and review of literature 2023
- Severe maternal morbidity associated with endometriosis: a population-based, retrospective cohort study 2023
- Spontaneous antenatal uterine rupture in a primiparous patient with placenta praevia: Does previous laparoscopic treatment of endometriosis increase the risk? 2023
- Spontaneous Uterine Rupture and Adenomyosis, a Rare but Possible Correlation: Case Report and Literature Review 2022
- A case report of uterine rupture after repeated conservative treatment for adenomyosis 2022
- Spontaneous unscarred uterine rupture in a twin pregnancy complicated by adenomyosis 2021
- Adenomyosis and infertility 2021
- Benefits of Surgical Intervention in Women with Endometriosis-Related Infertility 2020
- Endometriosis 2020
- Ultrasound diagnosis of endometriosis and adenomyosis: State of the art 2018
- Uterine adenomyosis and adenomyoma: the surgical approach 2018
- Symptoms and classification of uterine adenomyosis, including the place of hysteroscopy in diagnosis 2018
- Reproductive Outcomes after Fertility-Sparing Surgery for Focal and Diffuse Adenomyosis: A Systematic Review 2018
- Obstetrical complications of endometriosis, particularly deep endometriosis 2017
- The Incidence and Clinical Significance of Adenomyosis 2015
- Spontaneous rupture and massive hemoperitoneum from uterine leiomyomas and adenomyosis in a nongravid and unscarred uterus 2015
- A novel case of an adenomyosis-related uterine rupture in pregnancy 2015
- MESTRADO INTEGRADO EM MEDICINA Instituto de Ciências Biomédicas Abel Salazar Ano lectivo 2013/2014 2014
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- last seen: 2026-06-04T01:30:01.192114+00:00
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