Extrauterine pregnancy resulting from early uterine rupture

Background: Cesarean star rupture of a gravid uterus in early gestation is rare. Case: A 38-year-old woman, gravida 4, para 2-0-1-1, presented at 13 weeks' gestation with cramping and spotting. She had a history of two cesareans. U ltrasound and magnetic resonance imaging indicated probable uterine dehisce nce and a viable extrauterine pregnancy. After embolization of the uterine arteries with subsequent fetal death, the subject had a hysterectomy; Intra operatively, she had complete rupture of the lower uterine segment but the pregnancy was enclosed within scar tissue between the uterus and bladder. p lacenta percreta was found by histologic examination. Conclusion: Women with histories of cesareans might be at risk of early ute rine rupture. (Obstet Gynecol 1999;94: 804-5. (C) 1999 by The American Coll ege of Obstetricians and Gynecologists.).