{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:43:55Z","timestamp":1756385035480,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,3,3]]},"abstract":"<jats:p>Antepartum uterine rupture following salpingectomy is a rare condition and is associated with high fetal and maternal mortality and morbidity. We illustrate a 33-year-old primigravida who presented with abdominal pain at 29\u2005weeks of gestation. Her previous obstetric history included a ruptured right ectopic pregnancy for which she underwent laparoscopic salpingectomy with no breach of uterine cavity. Her antenatal care had otherwise been unremarkable. Following admission for undetectable fetal heart, ultrasound and CT demonstrated an extrauterine fetus at the right adnexal region with free fluid consistent with intra-abdominal haemorrhage. An exploratory laparotomy was performed which revealed a uterine rupture at the right cornua with the extruded fetus en caul. The fetus was delivered and the uterus repaired in three layers. The patient made an uneventful postoperative recovery and was discharged 5\u2005days following surgery. We review the current literature including the evaluation and management of this rare condition.<\/jats:p>","DOI":"10.1136\/bcr-2015-211359","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T10:50:17Z","timestamp":1489575017000},"page":"bcr2015211359","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Antepartum uterine rupture at 29\u2005weeks gestation following unilateral salpingectomy and review of literature"],"prefix":"10.1136","volume":"2017","author":[{"given":"Yu-Ting","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen Li-Yen","family":"Yim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Supuni","family":"Kapurubandara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anbu","family":"Anpalagan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,3,15]]},"reference":[{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200107053450101"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa040405"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.3","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1097\/AOG.0b013e318273695b","article-title":"Risk of uterine rupture and placenta accreta with prior uterine surgery outside of the lower segment","volume":"120","author":"Gyamfi-Bannerman","year":"2012","journal-title":"Obstet Gynecol"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.4","doi-asserted-by":"publisher","DOI":"10.3109\/01443619609028374"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.5","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/S1701-2163(15)30658-7","article-title":"Perspectives of obstetricians on labour and delivery after abdominal or laparoscopic myomectomy","volume":"36","author":"Weibel","year":"2014","journal-title":"J Obstet Gynaecol Can"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.6","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/14.10.2471"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.7","first-page":"641","article-title":"Rupture of the pregnant uterus horn following salpingectomy with resection of the interstitial portion. Report of 3 cases of which one followed in vitro fertilization and embryo transfer","volume":"15","author":"Lizan","year":"1986","journal-title":"J Gynecol"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.8","first-page":"105","article-title":"Rupture of the pregnant uterus after salpingectomy","volume":"147","author":"Bitsch","year":"1985","journal-title":"Ugeskr Laeger"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.9","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1002\/jcu.20469","article-title":"Sonographic findings of uterine rupture with expulsion of the fetus into broad ligament","volume":"37","author":"Attarde","year":"2009","journal-title":"J Clin Ultrasound"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.10","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.7863\/jum.2005.24.11.1565","article-title":"Sonographic findings and surgical management of a uterine rupture associated with the use of misoprostol during second-trimester abortion","volume":"24","author":"Daskalakis","year":"2005","journal-title":"J Ultrasound Med"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.11","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2001"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.12","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-199103000-00030"},{"key":"2025082805153340000_2017.mar15_1.bcr2015211359.13","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1097\/01.jwi.0000201537.29716.ab","article-title":"Conversion of intrauterine pregnancy into abdominal pregnancy due to ruptured uterus: pre-operative sonographic and MRI Diagnosis. 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