Skip to main content
Log in

Distinctive ultrasonographic finding of complete uterine rupture in early mid-trimester

  • Case Report
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

In many cases of uterine rupture, diagnosis is often impossible when characteristic clinical symptoms are absent. We encountered a case of suspected peritoneal pregnancy in which we were able to make a definitive diagnosis by ultrasonography of complete uterine rupture in early mid-trimester. The possibly distinctive finding is the high-echo area that extends from the endometrium to the uterine serosa. This contiguous, highly echogenic finding should be recognized as characteristic of complete rupture of the uterus.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Zwart JJ, Richters JM, Ory F, et al. Uterine rupture in The Netherlands: a nationwide population-based cohort study. Br J Obstet Gynecol. 2009;116:1069–80.

    Article  CAS  Google Scholar 

  2. Rozenberg P, Goffinet F, Phillippe HJ, et al. Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus. Lancet. 1996;347:281–4.

    Article  PubMed  CAS  Google Scholar 

  3. Gotoh H, Masuzaki H, Yoshida A, et al. Predicting incomplete uterine rupture with vaginal sonography during the late second trimester in women with prior cesarean. Obstet Gynecol. 2000;95:596–600.

    Article  PubMed  CAS  Google Scholar 

  4. Sen S, Malik S, Salhan S. Ultrasonographic evaluation of lower uterine segment thickness in patients of previous cesarean section. Int J Gynaecol Obstet. 2004;87:215–9.

    Article  PubMed  CAS  Google Scholar 

  5. Lonky NM, Worthen N, Ross MG. Prediction of cesarean section scars with ultrasound imaging during pregnancy. J Ultrasound Med. 1989;8:15–9.

    PubMed  CAS  Google Scholar 

  6. Tanik A, Ustun C, Cil E, et al. Sonographic evaluation of the wall thickness of the lower uterine segment in patients with previous cesarean section. J Clin Ultrasound. 1996;24:355–7.

    Article  PubMed  CAS  Google Scholar 

  7. Rozenberg P, Goffinet F, Philippe HJ, et al. Thickness of the lower uterine segment: its influence in the management of patients with previous cesarean sections. Eur J Obstet Gynecol Reprod Biol. 1999;87:39–45.

    Article  PubMed  CAS  Google Scholar 

  8. Vaknin Z, Maymon R, Mendlovic S, et al. Clinical, sonographic, and epidemiologic features of second- and early third-trimester spontaneous antepartum uterine rupture: a cohort study. Prenat Diagn. 2008;28:478–84.

    Article  PubMed  Google Scholar 

  9. Walsh CA, Baxi LV. Rupture of the primigravid uterus: a review of the literature. Obstet Gynecol Surv. 2007;62:327–34.

    Article  PubMed  Google Scholar 

  10. Ogbole GI, Ogunseyinde OA, Akinwuntan AL. Intrapartum rupture of the uterus diagnosed by ultrasound. Afr Health Sci. 2008;8:57–9.

    PubMed  CAS  Google Scholar 

  11. Pellerito JS, Taylor KJ, Quedens-Case C, et al. Ectopic pregnancy: evaluation with endovaginal color flow imaging. Radiology. 1992;183:407–11.

    PubMed  CAS  Google Scholar 

  12. Cheng PJ, Chueh HY, Qiu JT. Heterotopic pregnancy in a natural conception cycle presenting as hematometra. Obstet Gynecol. 2004;104:1195–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masaki Ogawa.

About this article

Cite this article

Ogawa, M., Sugawara, T., Sato, A. et al. Distinctive ultrasonographic finding of complete uterine rupture in early mid-trimester. J Med Ultrasonics 38, 93–95 (2011). https://doi.org/10.1007/s10396-010-0293-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-010-0293-4

Keywords

Navigation