Volume 10, Issue 2 (2025)
SJMR 2025, 10(2): 79-85 |
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Nateghi M R, Karamnia Far M, Sanaye Naderi M, Mohammadian H. A Rare Case of Live Birth in a Twin Pregnancy Complicated by Uterine Rupture in the Second Trimester: A Case Report. SJMR 2025; 10 (2) : 5
URL: http://saremjrm.com/article-1-368-en.html
URL: http://saremjrm.com/article-1-368-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (58 Views)
Introduction: Uterine rupture is a rare but life-threatening complication of pregnancy, most commonly occurring in women with a history of uterine surgery, and may result in fatal outcomes for both mother and fetus. The occurrence of this condition in pregnancies conceived through assisted reproductive techniques, particularly in multiple gestations, poses additional complexities. Therefore, the aim of this case report was to present a rare instance of live birth in a twin pregnancy complicated by uterine rupture during the second trimester, managed at Sarem Subspecialty Hospital in Tehran.
Case Presentation: A 36-year-old woman with a history of infertility and recurrent pregnancy loss achieved a twin pregnancy following surgical correction of a broad uterine septum using the Jones operation and in vitro fertilization (IVF). At 16 weeks of gestation, she presented with abdominal pain and intra-abdominal bleeding. An emergency laparotomy was performed, and uterine rupture was successfully repaired. One fetus was lost due to premature rupture of membranes, while the other remained viable. At 37 weeks of gestation, elective cesarean section was performed, resulting in the delivery of a healthy female infant weighing 2280 g with good Apgar scores.
Conclusion: This case highlights a rare occurrence of live birth following uterine rupture in a twin pregnancy during the second trimester. It underscores the importance of early recognition of nonspecific symptoms, timely surgical intervention, and careful monitoring in IVF pregnancies complicated by uterine rupture.
Case Presentation: A 36-year-old woman with a history of infertility and recurrent pregnancy loss achieved a twin pregnancy following surgical correction of a broad uterine septum using the Jones operation and in vitro fertilization (IVF). At 16 weeks of gestation, she presented with abdominal pain and intra-abdominal bleeding. An emergency laparotomy was performed, and uterine rupture was successfully repaired. One fetus was lost due to premature rupture of membranes, while the other remained viable. At 37 weeks of gestation, elective cesarean section was performed, resulting in the delivery of a healthy female infant weighing 2280 g with good Apgar scores.
Conclusion: This case highlights a rare occurrence of live birth following uterine rupture in a twin pregnancy during the second trimester. It underscores the importance of early recognition of nonspecific symptoms, timely surgical intervention, and careful monitoring in IVF pregnancies complicated by uterine rupture.
Article number: 5
Keywords: High-Risk Pregnancy, Uterine Rupture, Twin Pregnancy, IVF, Recurrent Miscarriage, Septate Uterus, Uterine Septum.
Article Type: Case Report |
Subject:
Pregnancy Care
Received: 2025/07/19 | Accepted: 2025/08/11 | Published: 2025/09/2
Received: 2025/07/19 | Accepted: 2025/08/11 | Published: 2025/09/2
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