Bedside ultrasound in the diagnosis of uterine rupture following surgical abortion


Reports of uterine rupture following surgical abortion are rare but may result in hemorrhage, sepsis, and even death. In this unique case, we describe how a transabdominal pelvic ultrasound performed at the bedside by an emergency department physician identified uterine rupture with retained products of conception and led to an emergent laparotomy and hysterectomy. This case illustrates how bedside ultrasound may be used in patients presenting with abdominopelvic pain following surgical abortion to shorten the time to definitive treatment and ultimately lower the morbidity and mortality associated with a diagnosis of life-threatening uterine rupture.

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  1. 1.

    Lohr PA, Hayes JL, Gemzell-Danielsson K (2008) Surgical versus medical methods for second trimester induced abortion. Cochrane Database Syst Rev 23(1):CD0067124

    Google Scholar 

  2. 2.

    Shulman SG, Bell CL, Hampf FE (2006) Uterine perforation and small bowel incarceration: sonographic and surgical findings. Emerg Radiol 13:43–45

    PubMed  Article  Google Scholar 

  3. 3.

    Peterson WF, Berry FN, Grace MR et al (1983) Second-trimester abortion by dilation and evacuation: an analysis of 11,747 cases. Obstet Gynecol 62:185–190

    PubMed  CAS  Google Scholar 

  4. 4.

    Grossman D, Blanchard K, Blumenthal P (2008) Complications of second trimester surgical and medical abortion. Reprod Health Matters 16(31 Supplement):173–182

    PubMed  Article  Google Scholar 

  5. 5.

    Crosfill FM, Hughes S (2006) Ultrasound scan appearance of perforated uterus after surgical evacuation of retained products of conception. J Obstet Gynaecol 26(3):278–279

    PubMed  Article  CAS  Google Scholar 

  6. 6.

    Sherer DM, Abulafia O, Anyaebunam AM (1998) Intra-and early postpartum ultrasonography: a review. Part II Obstet Gynecol Surv 53(3):181–190

    Article  CAS  Google Scholar 

  7. 7.

    Dignac A, Novellas S, Fournol M et al (2008) Incarceration of the appendix complicating a uterine perforation following surgical abortion: CT aspects. Emerg Radiol 15:267–269

    PubMed  Article  CAS  Google Scholar 

  8. 8.

    Has R, Topuz S, Kalelioglu I, Tagrikulu T (2007) Imaging features of postpartum uterine rupture: a case report. Abdom Imaging 33:101–103

    Article  Google Scholar 

  9. 9.

    Eller A, Fisher B (2009) Diagnosis of uterine rupture on CT. N Engl J Med 360(2):170

    PubMed  Article  Google Scholar 

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Correspondence to Charlotte Derr.

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(Video) Longitudinal transabominal ultrasound image inferior to the uterus showing the fetal head in the peritoneal cavity. (AVI 1538 kb)

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Derr, C., Henry, M. Bedside ultrasound in the diagnosis of uterine rupture following surgical abortion. Emerg Radiol 20, 165–167 (2013).

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  • Ultrasound
  • Uterine rupture
  • Surgical abortion