{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T05:49:58Z","timestamp":1794376198950,"version":"4.9.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Uterine rupture is a rare condition that typically occurs in a scarred uterus and can happen during late pregnancy, labor, or the early postpartum period. Since most cases are seen in patients with a history of cesarean surgery, the anterior lower uterine segment is the most affected area. Most patients present with acute symptoms that compromise the fetus and the mother in a life-threatening manner.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We present a case of uterine rupture with subacute symptoms occurring in the second trimester, which is extremely rare. The patient was a stable second-trimester multiparous woman with chronic abdominal pain, but without any signs of peritoneal bleeding or instability.<\/jats:p>\n                    <jats:p>No history of previous cesarean section was present, and she had recently undergone a non-complicated hysteroscopic polypectomy. Transabdominal and transvaginal ultrasounds were performed, revealing a significant full-thickness myometrial defect in the posterior uterine lower segment. This defect allowed the amniotic sac to protrude into the posterior cul-de-sac. No abdominopelvic hematoma was detected. These findings were confirmed in an urgent MRI, and the patient underwent a laparotomy during which a significant full-thickness defect was discovered at the posterior of the uterus. As it was impossible to continue the pregnancy, the fetus was surgically removed and then prepared using multiple layers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The difference between our case and the previously reported one is in the aspect of gradual stable presentation and lacks of vaginal bleeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Previous hysteroscopy carries a risk for future pregnancy complications, such as uterine rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109741","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T22:17:57Z","timestamp":1715206677000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Early diagnosis of impending rupture uterus during U\/S: A case report"],"prefix":"10.1097","volume":"119","author":[{"given":"Sara","family":"Parviz","sequence":"first","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Radiology Department, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences (TUMS), Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Deldar Pasikhani","sequence":"additional","affiliation":[{"name":"Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences (TUMS), Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soghra","family":"KHazardoost","sequence":"additional","affiliation":[{"name":"Department of perinatology, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahrooz","family":"Malek","sequence":"additional","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Radiology Department, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences (TUMS), Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narges","family":"Zamani","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology, Vali-Asr Hospital, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"6","key":"R1-81-20260422","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1007\/s00404-022-06452-0","article-title":"Risk factors and outcomes associated with type of uterine rupture","volume":"306","author":"Dimitrova","year":"2022","journal-title":"Arch. 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Sci."},{"key":"R12-81-20260422","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1007\/s10397-014-0842-8","article-title":"The risk of uterine rupture after myomectomy: a systematic review of the literature and meta-analysis","volume":"11","author":"Claeys","year":"2014","journal-title":"Gynecol. Surg."},{"key":"R13-81-20260422","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.amsu.2020.12.020","article-title":"Second trimester rupture uterus, unusual presentation","volume":"61","author":"Ibrahim","year":"2021","journal-title":"Ann. Med. Surg."},{"issue":"12","key":"R14-81-20260422","doi-asserted-by":"crossref","DOI":"10.1002\/ccr3.6802","article-title":"Spontaneous mid-trimester uterine rupture associated with fetal death in a young patient during COVID-19 pandemic: a case report","volume":"10","author":"Al-Obaidi","year":"2022","journal-title":"Clin. Case Rep."},{"issue":"10","key":"R15-81-20260422","doi-asserted-by":"crossref","first-page":"202","DOI":"10.31083\/j.ceog5010202","article-title":"Uterine rupture during pregnancy: can laparoscopy be performed safely and effectively?","volume":"50","author":"U\u00e7ar","year":"2023","journal-title":"Clin. Exp. Obstet. 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