{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T14:03:20Z","timestamp":1779717800629,"version":"3.53.1"},"reference-count":15,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_crpm-2025-0025_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Uterine rupture before the onset of labor is a rare but life-threatening obstetric emergency. This condition carries a high risk of maternal and fetal morbidity and mortality and requires prompt and careful management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_crpm-2025-0025_abs_002\">\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 26-year-old woman, gravida 3 and parity 2, was admitted to the gynecology department with complaints of abdominal pain in her 23rd week of pregnancy. During evaluation, a decrease in hemoglobin levels was noted, and abdominal MRI revealed uterine rupture. Uterine rupture was surgically repaired with a double-layer suture with fetal preservation. Following uterine repair, the pregnancy was successfully prolonged by more than 10\u00a0weeks and the patient delivered a healthy newborn at 33\u00a0weeks and 6\u00a0days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_crpm-2025-0025_abs_003\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early diagnosis and appropriate surgical intervention allowed the continuation of pregnancy and delivery at 33\u00a0weeks and 6\u00a0days resulting in favorable neonatal outcomes in this high-risk case. Uterine rupture in the mid-trimester increases the complexity of management, as traditional intervention strategies may need to be adapted to ensure both maternal and fetal safety. This case supports conservative surgical repair as a potential management option in carefully selected cases of mid-trimester uterine rupture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/crpm-2025-0025","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T13:09:25Z","timestamp":1779714565000},"source":"Crossref","is-referenced-by-count":0,"title":["Successful repair of spontaneous uterine rupture in the second trimester of pregnancy with progression to live birth"],"prefix":"10.1515","volume":"15","author":[{"given":"Deniz","family":"Kar\u00e7aalt\u0131ncaba","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Gazi University , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan H\u00fcseyin","family":"U\u00e7kan","sequence":"additional","affiliation":[{"name":"Ayd\u0131n City Hospital , Ayd\u0131n , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"2026052513092022882_j_crpm-2025-0025_ref_001","unstructured":"Hanson, S, Preszler, J, Bray, K. The spontaneous uterine rupture in labor: when to expect the unexpected. S D Med 2022;75:324\u20137."},{"key":"2026052513092022882_j_crpm-2025-0025_ref_002","doi-asserted-by":"crossref","unstructured":"Vaknin, Z, Maymon, R, Mendlovic, S, Barel, O, Herman, A, Sherman, D, et al.. Clinical, sonographic, and epidemiologic features of second- and early third-trimester spontaneous antepartum uterine rupture: a cohort study. Prenat Diagn 2008;28:478\u201384. https:\/\/doi.org\/10.1002\/pd.2001.","DOI":"10.1002\/pd.2001"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_003","doi-asserted-by":"crossref","unstructured":"Omar, NS, Tuffaha, H, Nadim, B, Alfaqih, MA, Alawneh, K, Bani-Hani, K. Spontaneous rupture in a non-laboring uterus at 20\u00a0weeks: a case report. Am J Case Rep 2020;21:e924894.","DOI":"10.12659\/AJCR.924894"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_004","doi-asserted-by":"crossref","unstructured":"Edwards, D, Rojas, AM, Rosen, MP, Whittle, W, Murji, A. Uterine dehiscence: a laparoscopic uterine repair in early pregnancy. Fertil Steril 2022;118:591\u20132. https:\/\/doi.org\/10.1016\/j.fertnstert.2022.05.039.","DOI":"10.1016\/j.fertnstert.2022.05.039"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_005","doi-asserted-by":"crossref","unstructured":"Whittington, JR, Jauk, VC, Kuller, JA, Ghahremani, T, Thomas, SL, Magann, EF. Uterine dehiscence and subsequent pregnancy management: a review of the literature. Obstet Gynecol Surv 2021;76:48\u201354. https:\/\/doi.org\/10.1097\/OGX.0000000000000856.","DOI":"10.1097\/OGX.0000000000000856"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_006","doi-asserted-by":"crossref","unstructured":"Giuliano, M, Closset, E, Therby, D, Deruelle, P, Subtil, D, Garabedian, C. Signs, symptoms and complications of complete and partial uterine ruptures during pregnancy and delivery. Eur J Obstet Gynecol Reprod Biol 2014;179:130\u20134.","DOI":"10.1016\/j.ejogrb.2014.05.004"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_007","doi-asserted-by":"crossref","unstructured":"Al-Zirqi, I, Stray-Pedersen, B, Fors\u00e9n, L, Daltveit, AK, Vangen, S. Risk factors for complete uterine rupture. Am J Obstet Gynecol 2017;216:165.e1\u2013e8. https:\/\/doi.org\/10.1016\/j.ajog.2016.10.017.","DOI":"10.1016\/j.ajog.2016.10.017"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_008","doi-asserted-by":"crossref","unstructured":"Bujold, E, Gauthier, RJ. Risk of uterine rupture associated with an interdelivery interval between 18 and 24\u00a0months. Obstet Gynecol 2010;115:1003\u20136. https:\/\/doi.org\/10.1097\/aog.0b013e3181d992fb.","DOI":"10.1097\/AOG.0b013e3181d992fb"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_009","doi-asserted-by":"crossref","unstructured":"Surico, D, Vigone, A, Giardina, I, Rappa, C, Quattrocchi, T, Surico, N. Successful delivery after surgical repair of uterine rupture at 15\u00a0weeks of gestation: case report and brief review. Eur J Obstet Gynecol Reprod Biol 2016;204:5\u20138. https:\/\/doi.org\/10.1016\/j.ejogrb.2016.05.034.","DOI":"10.1016\/j.ejogrb.2016.05.034"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_010","doi-asserted-by":"crossref","unstructured":"Hawkins, L, Nair, A, Szychowski, JM, Owen, J, Tita, ATN, Biggio, JR. Spontaneous uterine rupture and surgical repair at 21\u00a0weeks gestation with progression to live birth: a case report. BMC Pregnancy Childbirth 2018;18:132. https:\/\/doi.org\/10.1186\/s12884-018-1761-x.","DOI":"10.1186\/s12884-018-1761-x"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_011","doi-asserted-by":"crossref","unstructured":"Zhu, Z, Li, H, Zhang, J. Uterine dehiscence in pregnant women with previous caesarean delivery. Ann Med 2021;53:1265\u20139. https:\/\/doi.org\/10.1080\/07853890.2021.1959049.","DOI":"10.1080\/07853890.2021.1959049"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_012","doi-asserted-by":"crossref","unstructured":"Tola, EN. First trimester spontaneous uterine rupture in a young woman with uterine anomaly. Case Rep Obstet Gynecol 2014;2014:967386. https:\/\/doi.org\/10.1155\/2014\/967386.","DOI":"10.1155\/2014\/967386"},{"key":"2026052513092022882_j_crpm-2025-0025_ref_013","doi-asserted-by":"crossref","unstructured":"Furey, EA, Bailey, AA, Pedrosa, I. Magnetic resonance imaging of acute abdominal and pelvic pain in pregnancy. 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