{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:06:46Z","timestamp":1788912406711,"version":"build-2803163510"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":57,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background Uterine rupture is a rare but life-threatening obstetric emergency, usually associated with labor in patients with a prior cesarean delivery. Spontaneous rupture remote from a uterine scar, particularly at the cornua in the second trimester, is exceedingly uncommon.<\/jats:p>\n                  <jats:p>Case We report a 30-year-old gravida 2 para 1 at 253\/7 weeks\u2019 gestation with a dichorionic\u2013diamniotic twin pregnancy who presented with abrupt abdominal pain and hemoperitoneum of unclear etiology. Despite reassuring imaging, progressive maternal deterioration and non-reassuring fetal status prompted emergent laparotomy and cesarean delivery. A 3 cm \u00d7 3 cm full-thickness left cornual rupture was identified.<\/jats:p>\n                  <jats:p>Conclusion In pregnant patients with unexplained hemoperitoneum, clinical status must override reassuring imaging, and prompt surgical intervention is essential.<\/jats:p>","DOI":"10.1055\/a-2946-0857","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T23:30:42Z","timestamp":1787873442000},"page":"e159-e164","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Uterine Cornual Rupture in the Second Trimester of Dichorionic-Diamniotic Twin Pregnancy"],"prefix":"10.1055","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7219-1788","authenticated-orcid":false,"given":"Britney","family":"Margheim","sequence":"additional","affiliation":[{"name":"Kansas City University College of Osteopathic Medicine, Missouri, United States","place":["Kansas City"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Touro University California College of Osteopathic Medicine, California, United States","place":["Vallejo"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Wiebe","sequence":"additional","affiliation":[{"name":"American Canadian School of Medicine at Dominica, Saint John Parish, Dominica","place":["Picard"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melton","family":"Zheng","sequence":"additional","affiliation":[{"name":"Touro University California College of Osteopathic Medicine, California, United States","place":["Vallejo"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Desert Regional Medical Center, California, United States","place":["Palm Springs"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roufan","family":"Yoa","sequence":"additional","affiliation":[{"name":"Loma Linda University Medical Center, California, United States","place":["Loma Linda"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"ref1","volume-title":"Uterine rupture.","author":"B M Togioka","year":"2026"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"165.e1","DOI":"10.1016\/j.ajog.2016.10.017","article-title":"Risk factors for complete uterine rupture","volume":"216","author":"I Al-Zirqi","year":"2017","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"130","DOI":"10.4103\/gmit.gmit_10_23","article-title":"Cornual pregnancy","volume":"12","author":"M Gaetani","year":"2023","journal-title":"Gynecol Minim Invasive 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Obstet"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"e00302","DOI":"10.1016\/j.crwh.2021.e00302","article-title":"Spontaneous fundal uterine rupture in a non-labouring 31-week twin pregnancy and unknown previous hysteroscopic adhesiolysis: a case report","volume":"30","author":"G Smith","year":"2021","journal-title":"Case Rep Womens Health"},{"issue":"04","key":"ref11","first-page":"545","article-title":"Spontaneous unscarred uterine rupture at 15 weeks of pregnancy: a case report","volume":"16","author":"L Mannini","year":"2016","journal-title":"Ochsner J"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1186\/s12884-022-04415-6","article-title":"Pregnancy outcomes and associated factors for uterine rupture: an 8\u2009 years population-based retrospective study","volume":"22","author":"S Wan","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/OGX.0000000000001107","article-title":"Spontaneous hemoperitoneum in pregnancy and endometriosis: a new challenge in a known disease","volume":"78","author":"N Zilberman Sharon","year":"2023","journal-title":"Obstet Gynecol Surv"},{"key":"ref14","first-page":"596707","article-title":"Spontaneous rupture of uterine vein in twin pregnancy","volume":"2013","author":"E Doger","year":"2013","journal-title":"Case Rep Obstet Gynecol"},{"key":"ref15","first-page":"1139","article-title":"Expectant management of uterine dehiscence in the second trimester of pregnancy","volume":"102","author":"B D Hamar","year":"2003","journal-title":"Obstet Gynecol"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/s12884-018-1761-x","article-title":"Spontaneous uterine rupture and surgical repair at 21 weeks gestation with progression to live birth: a case 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