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Second-trimester spontaneous uterine rupture: a rare case of diagnostic nuances and multidisciplinary management
(Galenos Publishing House, 2024) Sooknarine, Celine; Çetin, Esra; Pyatt Ii, David H.; Saçıntı, Koray Görkem
Uterine rupture, characterized by the complete separation of all uterine layers, poses significant risk to both the mother and fetus (1). This condition is predominantly observed in the third trimester of pregnancy, with earlier occurrences being exceptionally rare (2). The incidence of uterine rupture is approximately 0.7 per 10,000 deliveries in unscarred uteri and 5.1 per 10,000 in scarred uteri (3). Second-trimester ruptures are typically associated with induced pregnancy terminations in scarred uteri, trauma, or complications, such as placenta accreta spectrum. Spontaneous rupture before labor in the second trimester is an extremely uncommon event (4). Notably, 80% of uterine ruptures occur between 28 and 36 weeks of gestation, with mid-trimester ruptures reported at an incidence of 1 per 5,000 deliveries (5).