{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T10:26:21Z","timestamp":1769163981343,"version":"3.49.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T00:00:00Z","timestamp":1594598400000},"content-version":"vor","delay-in-days":194,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although uterine rupture is well discussed, uterine laceration and partial myometrial laceration are little known. A previous report hypothesized that the stress of labor was associated with uterine laceration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We present a rare case of uterine laceration in a patient in the second trimester. A 34-year-old primigravida woman at 16 weeks\u2019 gestation without a history of uterine surgery complained of sudden low abdominal pain. Ultrasonography showed fetal death and intraperitoneal free fluid. A laparotomy was performed, and partial uterine laceration in the posterior wall along with active bleeding was confirmed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The etiology of uterine laceration in early pregnancy might be different from both classical uterine rupture and previously published uterine laceration. We hypothesized that tissue inadaptable for uterine enlargement, such as that owing to endometriosis and subtle injury by surgical approach, may be associated with the onset mechanism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The diagnosis of uterine laceration in early pregnancy is quite difficult because of the absence of specific clinical findings. However, it sometimes causes massive intraperitoneal bleeding and has poor prognosis. Therefore, when uterine laceration is suspected as a cause of hemoperitoneum in a pregnant women, clinicians should perfume exploratory laparotomy appropriately.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.07.006","type":"journal-article","created":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T02:09:24Z","timestamp":1594778964000},"page":"154-156","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous partial uterine laceration in primigravida at 16 weeks of gestation"],"prefix":"10.1097","volume":"73","author":[{"given":"Kaori","family":"Iino","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanji","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Takabayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asami","family":"Akaishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kana","family":"Ishihara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihito","family":"Yokoyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-35-20260114","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1111\/j.1471-0528.2005.00725.x","article-title":"WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture","volume":"112","author":"Hofmeyr","year":"2005","journal-title":"BJOG"},{"key":"R2-35-20260114","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1111\/j.1471-0528.2009.02136.x","article-title":"Uterine rupture in the Netherlands: a nationwide population-based cohort study","volume":"116","author":"Zwart","year":"2009","journal-title":"BJOG"},{"key":"R3-35-20260114","doi-asserted-by":"crossref","first-page":"e1001184","DOI":"10.1371\/journal.pmed.1001184","article-title":"Uterine rupture by intended mode of delivery in the UK: a national case-control study","volume":"9","author":"Fitzpatrick","year":"2012","journal-title":"PLoS Med"},{"key":"R4-35-20260114","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1034\/j.1600-0412.2000.079002099.x","article-title":"A hypothesis to explain the occurence of inner myometrial laceration causing massive postpartum hemorrhage","volume":"79","author":"Hayashi","year":"2000","journal-title":"Acta Obstet. Gynecol. Scand"},{"key":"R5-35-20260114","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1097\/AOG.0000000000001170","article-title":"Management of persistent postpartum hemorrhage caused by inner myometrial lacerations","volume":"126","author":"Page","year":"2015","journal-title":"Obstet. Gynecol"},{"key":"R6-35-20260114","first-page":"2621","article-title":"Inner myometrial laceration - an unusual presentation of antepartum and postpartum hemorrhage: case reports and review of the literature","volume":"29","author":"Kaplanoglu","year":"2016","journal-title":"J. Matern. Fetal. Neonatal. Med"},{"key":"R7-35-20260114","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1080\/14767058.2017.1284790","article-title":"Spontaneous uterine laceration in labor: a type of intrapartum uterine injury different from the classical uterine rupture","volume":"31","author":"Hishikawa","year":"2018","journal-title":"J. Matern. Fetal. Neonatal. 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Notes"},{"key":"R11-35-20260114","first-page":"545","article-title":"Spontaneous unscarred uterine rupture at 15 weeks of pregnancy: a case report","volume":"16","author":"Mannini","year":"2016","journal-title":"Ochsner J"},{"key":"R12-35-20260114","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.ejogrb.2017.10.012","article-title":"Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis \u2013 a systematic review of the recent literature","volume":"219","author":"Lier","year":"2017","journal-title":"Eur. J. Obstet. Gynecol. Reprod. 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