{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:50Z","timestamp":1753877090324,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2020,10,24]],"date-time":"2020-10-24T00:00:00Z","timestamp":1603497600000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The first-trimester rupture of a bicornuate uterus (BU) is a rare obstetrical emergency, especially following previous normal vaginal deliveries where it is often misdiagnosed. A 24-year-old G3P2002 woman presented at 11\u00a0weeks of gestation with sudden onset of severe left iliac fossa pain without other symptoms. On examination, she was fully conscious and hemodynamically unstable with signs of peritoneal irritation, a distended pouch of Douglas and a slightly enlarged uterus and a tender left adnexal mass. The diagnosis of a ruptured ectopic pregnancy was made and a laparotomy was done. Intra-operative findings were hemoperitoneum, a left ruptured BU and a dead fetus. Surgical management entailed hysterorrarphy, left salpingectomy and conservation of both ovaries. Her postoperative course was uneventful and future fertility was preserved. We recommend a high index of suspicion of ruptured BU as a differential diagnosis of acute abdomen in the first trimester in women with previous term vaginal deliveries.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa366","type":"journal-article","created":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T11:09:59Z","timestamp":1598353799000},"source":"Crossref","is-referenced-by-count":1,"title":["First-trimester rupture of a gravid bicornuate uterus after prior vaginal deliveries, simulating a ruptured ectopic pregnancy: a case report"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8338-2467","authenticated-orcid":false,"given":"Joel Noutakdie","family":"Tochie","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care Medicine, Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Yaound\u00e9, Cameroon"},{"name":"Human Research Education and Networking, Yaound\u00e9, Cameroon"},{"name":"Department of Obstetrics\/Gynaecology and Anaesthesiology, Hopital Saint Jean de Malte, Yaound\u00e9, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Landry Wakheu","family":"Tcheunkam","sequence":"additional","affiliation":[{"name":"Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Yaound\u00e9, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Collince","family":"Tchakount\u00e9","sequence":"additional","affiliation":[{"name":"Department of Obstetrics\/Gynaecology and Anaesthesiology, Hopital Saint Jean de Malte, Yaound\u00e9, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nkengafac Nyiawung","family":"Fobellah","sequence":"additional","affiliation":[{"name":"School of Health and Human Sciences, Higher Institute of the University of Saint Monica, Buea, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Nambile","family":"Cumber","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa"},{"name":"Section of Epidemiology and Social Medicine, Department of Public Health, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden"},{"name":"School of Health Systems and Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,24]]},"reference":[{"key":"2020102318503383000_ref1","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1093\/humupd\/dmr028","article-title":"The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review","volume":"17","author":"Chan","year":"2011","journal-title":"Hum Reprod 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