Sonographic Findings and Diagnostic Pitfalls in Evaluation for Uterine Rupture in a Case of Fetal Demise and Prior Cesarean Delivery of Unknown Type.

Abstract:

:A 38-week pregnant patient with history of cesarean delivery was admitted to the hospital for induction of labor after diagnosis of fetal demise. When the clinical picture became concerning for uterine scar dehiscence, an ultrasound was ordered. After targeted ultrasound of the lower uterine segment, the sonographer initially reported thin but intact lower uterine segment and normal positioning of the fetus. By keeping a high level of suspicion, the radiologist analyzed the images submitted and found other clues suggesting possible dehiscence or rupture. Additional images were then obtained, ultimately demonstrating uterine rupture with fetus external to uterus.

journal_name

Ultrasound Q

journal_title

Ultrasound quarterly

authors

Spain JA,Shaikh S,Sandberg SA

doi

10.1097/RUQ.0000000000000260

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

69-73

issue

1

eissn

0894-8771

issn

1536-0253

journal_volume

33

pub_type

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