Abstract
Introduction
Uterine rupture during pregnancy caused by uterine dysplasia, such as the double uterus, is very rare and easily overlooked by the surgeon.
Case
A 25-year-old woman, at 17 weeks of gestation presented to our emergency center with acute right lower abdominal pain for more than 10 h. The initial diagnosis is acute appendicitis, but during the exploration, we found about 2500 mL of intraperitoneal hemorrhage, appendix was normal, pregnancy in one of the double uterine and ruptured at the right bottom. The pregnancy was removed and the uterine defect was repaired.
Conclusion
Uterine rupture caused by double uterus is very rare and easily Ignored by the surgeon. The survival of patients suffered from uterine rupture depends on the time interval between rupture and intervention.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Author information
Authors and Affiliations
Contributions
LS: involved in the drafting of articles and data collection. XL: Participate in surgery. SS, LY and XZ: data analysis, and writing. YS: study design and data collections.
Corresponding author
Ethics declarations
Conflict of interest
All authors declare that they have no conflict of interest.
Ethical approval
The study was approved by the Research Committee of the Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Funding
None.
Rights and permissions
About this article
Cite this article
Shi, L., Lin, X., Sha, S. et al. Delayed presentation of uterine rupture in a didelphys uterus misdiagnosed as appendicitis: a case report and review of the literature. Arch Gynecol Obstet 296, 1015–1016 (2017). https://doi.org/10.1007/s00404-017-4522-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-017-4522-6