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Uterine Rupture
Anne M. 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. Eshkoli T et al: The significance of a uterine rupture in subsequent births. Arch Gynecol Obstet. 292(4):799-803, 2015
                                    2. Flyckt RL et al: Editorial: Uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol. 22(6):921-2, 2015
                                    3. Gibbins KJ et al: Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. Am J Obstet Gynecol. 213(3):382, 2015
                                    4. 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
                                    5. Landon MB: Implications of the rising frequency of uterine rupture. BJOG. ePub, 2015
                                    6. Singh A et al: Uterine Rupture: Still a Harsh Reality! J Obstet Gynaecol India. 65(3):158-61, 2015
                                    7. Sentilhes L et al: Delivery for women with a previous cesarean: guidelines for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF). Eur J Obstet Gynecol Reprod Biol. 170(1):25-32, 2013
                                    8. American College of Obstetricians and Gynecologists: ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery. Obstet Gynecol. 116(2 Pt 1):450-63, 2010
                                    9. Chibber R et al: Uterine rupture and subsequent pregnancy outcome--how safe is it? A 25-year study. J Matern Fetal Neonatal Med. 23(5):421-4, 2010
                                    10. Mirza FG et al: Trauma in pregnancy: a systematic approach. Am J Perinatol. 27(7):579-86, 2010
                                    11. Liao CY et al: Repair of uterine rupture in twin gestation after laparoscopic cornual resection. J Minim Invasive Gynecol. 16(4):493-5, 2009
                                    12. Zwart JJ et al: Uterine rupture in The Netherlands: a nationwide population-based cohort study. BJOG. 116(8):1069-78; discussion 1078-80, 2009
                                    13. Vaknin Z et al: Clinical, sonographic, and epidemiologic features of second- and early third-trimester spontaneous antepartum uterine rupture: a cohort study. Prenat Diagn. 28(6):478-84, 2008
                                    14. Zwart JJ et al: Severe maternal morbidity during pregnancy, delivery and puerperium in the Netherlands: a nationwide population-based study of 371,000 pregnancies. BJOG. 115(7):842-50, 2008
                                    15. Spong CY et al: Risk of uterine rupture and adverse perinatal outcome at term after cesarean delivery. Obstet Gynecol. 110(4):801-7, 2007
                                    16. Stamilio DM et al: Short interpregnancy interval: risk of uterine rupture and complications of vaginal birth after cesarean delivery. Obstet Gynecol. 110(5):1075-82, 2007
                                    17. Silver RM et al: Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 107(6):1226-32, 2006
                                    18. Wei SC et al: Uterine rupture due to traumatic assisted fundal pressure. Taiwan J Obstet Gynecol. 45(2):170-2, 2006
                                    19. Padhye SM: Rupture of the pregnant uterus--a 20 year review. Kathmandu Univ Med J (KUMJ). 3(3):234-8, 2005
                                    20. Leyendecker JR et al: MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics. 24(5):1301-16, 2004
                                    21. Matsunaga JS et al: Repair of uterine dehiscence with continuation of pregnancy. Obstet Gynecol. 104(5 Pt 2):1211-2, 2004
                                    22. Sambaziotis H et al: Second-trimester sonographic comparison of the lower uterine segment in pregnant women with and without a previous cesarean delivery. J Ultrasound Med. 23(7):907-11; quiz 913-4, 2004
                                    23. Smith GC et al: Factors predisposing to perinatal death related to uterine rupture during attempted vaginal birth after caesarean section: retrospective cohort study. BMJ. 329(7462):375, 2004
                                    24. Kieser KE et al: A 10-year population-based study of uterine rupture. Obstet Gynecol. 100(4):749-53, 2002
                                    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. Eshkoli T et al: The significance of a uterine rupture in subsequent births. Arch Gynecol Obstet. 292(4):799-803, 2015
                                                                      2. Flyckt RL et al: Editorial: Uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol. 22(6):921-2, 2015
                                                                      3. Gibbins KJ et al: Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. Am J Obstet Gynecol. 213(3):382, 2015
                                                                      4. 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
                                                                      5. Landon MB: Implications of the rising frequency of uterine rupture. BJOG. ePub, 2015
                                                                      6. Singh A et al: Uterine Rupture: Still a Harsh Reality! J Obstet Gynaecol India. 65(3):158-61, 2015
                                                                      7. Sentilhes L et al: Delivery for women with a previous cesarean: guidelines for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF). Eur J Obstet Gynecol Reprod Biol. 170(1):25-32, 2013
                                                                      8. American College of Obstetricians and Gynecologists: ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery. Obstet Gynecol. 116(2 Pt 1):450-63, 2010
                                                                      9. Chibber R et al: Uterine rupture and subsequent pregnancy outcome--how safe is it? A 25-year study. J Matern Fetal Neonatal Med. 23(5):421-4, 2010
                                                                      10. Mirza FG et al: Trauma in pregnancy: a systematic approach. Am J Perinatol. 27(7):579-86, 2010
                                                                      11. Liao CY et al: Repair of uterine rupture in twin gestation after laparoscopic cornual resection. J Minim Invasive Gynecol. 16(4):493-5, 2009
                                                                      12. Zwart JJ et al: Uterine rupture in The Netherlands: a nationwide population-based cohort study. BJOG. 116(8):1069-78; discussion 1078-80, 2009
                                                                      13. Vaknin Z et al: Clinical, sonographic, and epidemiologic features of second- and early third-trimester spontaneous antepartum uterine rupture: a cohort study. Prenat Diagn. 28(6):478-84, 2008
                                                                      14. Zwart JJ et al: Severe maternal morbidity during pregnancy, delivery and puerperium in the Netherlands: a nationwide population-based study of 371,000 pregnancies. BJOG. 115(7):842-50, 2008
                                                                      15. Spong CY et al: Risk of uterine rupture and adverse perinatal outcome at term after cesarean delivery. Obstet Gynecol. 110(4):801-7, 2007
                                                                      16. Stamilio DM et al: Short interpregnancy interval: risk of uterine rupture and complications of vaginal birth after cesarean delivery. Obstet Gynecol. 110(5):1075-82, 2007
                                                                      17. Silver RM et al: Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 107(6):1226-32, 2006
                                                                      18. Wei SC et al: Uterine rupture due to traumatic assisted fundal pressure. Taiwan J Obstet Gynecol. 45(2):170-2, 2006
                                                                      19. Padhye SM: Rupture of the pregnant uterus--a 20 year review. Kathmandu Univ Med J (KUMJ). 3(3):234-8, 2005
                                                                      20. Leyendecker JR et al: MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics. 24(5):1301-16, 2004
                                                                      21. Matsunaga JS et al: Repair of uterine dehiscence with continuation of pregnancy. Obstet Gynecol. 104(5 Pt 2):1211-2, 2004
                                                                      22. Sambaziotis H et al: Second-trimester sonographic comparison of the lower uterine segment in pregnant women with and without a previous cesarean delivery. J Ultrasound Med. 23(7):907-11; quiz 913-4, 2004
                                                                      23. Smith GC et al: Factors predisposing to perinatal death related to uterine rupture during attempted vaginal birth after caesarean section: retrospective cohort study. BMJ. 329(7462):375, 2004
                                                                      24. Kieser KE et al: A 10-year population-based study of uterine rupture. Obstet Gynecol. 100(4):749-53, 2002