Diagnosis and Management in a Patient with Suspected Placental Abruption and Possible Uterine Rupture

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Conference Proceeding - Restricted Access

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We present a case of a previously healthy 37-year-old female G1P0 at 24w1d gestation with an IVF pregnancy who presented to the hospital with acute abdominal pain. Abdomen was firm to palpation and positive for rebound tenderness. Speculum examination revealed no bleeding and cervix was closed. Bedside ultrasound was limited due to patient intolerance, but breech presentation and a posterior fundal placenta with retroplacental hematoma was visualized. Fetal heart tracings were non-reassuring. Patient was rushed to the operating room due to suspected placental abruption but was found to have uterine rupture. We discuss the diagnosis and management of uterine rupture.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 9-11, 2021.