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Uterine Dehiscence/Rupture
Anne Kennedy, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Uterine rupture: Full-thickness tear of uterine wall
            • Uterine dehiscence: Incomplete rupture with disrupted myometrium but intact serosa

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Fox NS: Pregnancy outcomes in patients with prior uterine rupture or dehiscence: a 5-year update. Obstet Gynecol. 135(1):211-12, 2020
                                    2. Hoffmann J et al: Comparison of the lower uterine segment in pregnant women with and without previous cesarean section in 3 T MRI. BMC Pregnancy Childbirth. 19(1):160, 2019
                                    3. Ochsenbein-Kölble N et al: Clinical and histologic evaluation of the hysterotomy site and fetal membranes after open fetal surgery for fetal spina bifida repair. Fetal Diagn Ther. 45(4):248-55, 2019
                                    4. Eshkoli T et al: The significance of a uterine rupture in subsequent births. Arch Gynecol Obstet. 292(4):799-803, 2015
                                    5. Flyckt RL et al: Editorial: Uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol. 22(6):921-2, 2015
                                    6. Gibbins KJ et al: Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. Am J Obstet Gynecol. 213(3):382, 2015
                                    7. Koo YJ et al: Pregnancy outcomes and risk factors for uterine rupture after laparoscopic myomectomy: a single-center experience and literature review. J Minim Invasive Gynecol. 22(6):1022-8, 2015
                                    8. Landon MB: Implications of the rising frequency of uterine rupture. BJOG. 123(5):676-7, 2015
                                    9. Singh A et al: Uterine rupture: still a harsh reality! J Obstet Gynaecol India. 65(3):158-61, 2015
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Definitions

                                              • Uterine rupture: Full-thickness tear of uterine wall
                                              • Uterine dehiscence: Incomplete rupture with disrupted myometrium but intact serosa

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Fox NS: Pregnancy outcomes in patients with prior uterine rupture or dehiscence: a 5-year update. Obstet Gynecol. 135(1):211-12, 2020
                                                                      2. Hoffmann J et al: Comparison of the lower uterine segment in pregnant women with and without previous cesarean section in 3 T MRI. BMC Pregnancy Childbirth. 19(1):160, 2019
                                                                      3. Ochsenbein-Kölble N et al: Clinical and histologic evaluation of the hysterotomy site and fetal membranes after open fetal surgery for fetal spina bifida repair. Fetal Diagn Ther. 45(4):248-55, 2019
                                                                      4. Eshkoli T et al: The significance of a uterine rupture in subsequent births. Arch Gynecol Obstet. 292(4):799-803, 2015
                                                                      5. Flyckt RL et al: Editorial: Uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol. 22(6):921-2, 2015
                                                                      6. Gibbins KJ et al: Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. Am J Obstet Gynecol. 213(3):382, 2015
                                                                      7. Koo YJ et al: Pregnancy outcomes and risk factors for uterine rupture after laparoscopic myomectomy: a single-center experience and literature review. J Minim Invasive Gynecol. 22(6):1022-8, 2015
                                                                      8. Landon MB: Implications of the rising frequency of uterine rupture. BJOG. 123(5):676-7, 2015
                                                                      9. Singh A et al: Uterine rupture: still a harsh reality! J Obstet Gynaecol India. 65(3):158-61, 2015