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AJP Rep 2015; 05(02): e132-e135
DOI: 10.1055/s-0035-1549296
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Amniotic Sac Herniation Through a Prior Cornual Scar in The Third Trimester

Antonio F. Saad
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas
,
Maged M. Costantine
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas
,
George Saade
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas
,
Michel Makhlouf
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas
› Author Affiliations
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Publication History

14 April 2014

27 May 2014

Publication Date:
27 April 2015 (online)

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Abstract

Introduction Uterine rupture occurs in less than 0.1% of pregnancies. This complication can be detrimental to mother and fetus if not detected and managed in a timely manner. We report an unusual presentation of uterine scar rupture that was diagnosed on ultrasound in a completely stable patient with reassuring fetal status.

Case Report A 24-year-old Gravida 5, Para 3 with history of cornual resection for ectopic pregnancy and two previous uterine ruptures presented at 30 weeks' gestation with worsening abdominal pain. Ultrasound identified herniation of the amniotic sac with fetal parts. The patient underwent cesarean delivery and cornual defect repair.

Conclusion Close observation and early delivery remain vital to the patient's management.

Keywords

cornual pregnancy - spontaneous uterine rupture - uterine surgery
 

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