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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

SCARELLA C, Aníbal   et al. ROTURA UTERINA ESPONTÁNEA EN EL PRIMER TRIMESTRE DEL EMBARAZO. Rev. chil. obstet. ginecol. [online]. 2008, vol.73, n.6, pp.393-396. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262008000600007.

Uterine rupture is an uncommon obstetric event, but still potentially lethal for the mother and the fetus. It presents mainly during the second orthird trimester and is associated with several riskfactors, being a pre-vious uterine scarthe most important of them. Its presentation during the first trimester is exceptional, and it constitutes a medical challenge, because of its difficult differential diagnosis and controversial management. A case of a multiparous, previous triple scar woman is presented, with a spontaneous uterine rupture at 10 weeks of pregnancy. In this case the diagnosis was made during surgery, after the patient's hemodynamic decompensation. The management included primary closure of the lesión and observation; when fetal death was confirmed, dilatation and curettage of the cavity had to be performed. Because of the failure of conser-vative management, an obstetric hysterectomy was carried out. Histopathology reported placenta accreta.

Palabras clave : First trimester uterine rupture; placenta accreta.

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