Spontaneous Uterine Rupture and Adenomyosis, a Rare but Possible Correlation: Case Report and Literature Review

Antonella Vimercati, Miriam Dellino, Cosimina Suma, Gianluca Raffaello Damiani, Antonio Malvası, Antonio Malvasi, Gerardo Cazzato, Eliano Cascardi, Leonardo Resta, Ettore Cicinelli
Diagnostics · 2022 · vol. 12(7) , pp. 1574 · doi:10.3390/diagnostics12071574 · PMID:35885480 · PMC9317678 · W4283694348
case-report OA: gold CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report and literature review identifies adenomyosis as a potential risk factor for spontaneous uterine rupture in an unscarred uterus during pregnancy.

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Abstract

(1) Background: Uterine rupture during pregnancy is a serious obstetric complication with a high incidence of maternal morbidity and mortality. (2) Methods: The present case is a rare event of a uterine rupture occurring in an unscarred uterus in a nonlaboring primigravida woman in the second trimester. The only risk factor in this case was adenomyosis found in the preconceptional phase. (3) Results: The diagnosis of adenomyosis can often be difficult, so patients should be evaluated by a specialized gynecologist. After careful amnestic collection, a gynecological examination and II level ultrasound should be performed in accordance with the Morphological Uterus Sonographic Assessment classification. (4) Conclusions: This evaluation allows us to identify classes of patients at high risk of uterine rupture who, therefore, must be properly informed of the risks both during preconceptional counseling and during pregnancy.

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Condition tags

adenomyosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (33)

Cited by (6)

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europepmc
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License: CC0 · commercial use OK