• West Afr J Med · Apr 2001

    Case Reports

    Rupture of uterine scar with extrusion of twin fetuses into the urinary bladder--a case report.

    • O B Fasubaa, V A Adetiloye, A C Baraletei, A T Owolabi, and F Dare.
    • Department of Obstetrics and Gynaecology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
    • West Afr J Med. 2001 Apr 1; 20 (2): 158-60.

    AbstractAn unusual presentation of a ruptured uterus with extrusion of twin fetuses into the urinary bladder is described. A routine pelvic ultrasound to confirm pelvic collection from a suspended criminally induced abortion revealed a rupture of the anterior wall of the uterus with communication to the urinary bladder and this finding was confirmed at laparatomy. While a high index of suspicion is important in the diagnosis of ruptured uterus, a subtle place for pelvic ultrasound in patients with vaginal bleeding, suprapubic pain and haematuria may be of help.

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