Uterine dehiscence is the incomplete separation of the myometrium at a uterine scar site, usually from a previous cesarean section. Because membranes remain intact, the prognosis for both mother and fetus is generally good. However, labor contractions may lead to progression and a complete uterine rupture, which can be catastrophic. The combination of abdominal pain, previous cesarean section, and the sonographic finding of ballooning membranes should suggest the diagnosis of uterine dehiscence.
1. Turner MJ: Uterine rupture. Best Pract Res Clin Obstet Gynaecol2002;16:69–79.
2.
2. Caughey AB, Shipp TD, Repke JT, Zelop CM, Cohen A, Lieberman E: Rate of uterine rupture during a trial of labor in women with one or two prior cesarean deliveries. Am J Obstet Gynecol1999;181:872–876.
3.
3. Kieser KE, Baskett TF: A 10-year population-based study of uterine rupture. Obstet Gynecol2002;100:749–753.
4.
4. van Alphen M, van Vugt JMG, Hummel P, van Geijn HP: Recurrent uterine rupture diagnosed by ultrasound. Ultrasound Obstet Gynecol1995;5:419–421.
5.
5. Avrech OM, Weinraub Z, Herman A, et al: Ultrasonic antepartum assessment of a classical cesarean uterine scar and diagnosis of dehiscence. Ultrasound Obstet Gynecol1994;4:151–153.
6.
6. Markos F, Ramin KD, Twickler DM, Barron J, Ramin SM: Ultrasonographic diagnosis of uterine rent at 33 weeks’ gestation with history of curettage. Am J Obstet Gynecol1995;172:224–226.
7.
7. Oyelese Y, Tchabo JG, Chapin B, Nair A, Hanson P, Mc-Laren R: Conservative management of uterine rupture diagnosed prenatally on the basis of sonography. J Ultrasound Med2003;22:977–980.
8.
8. Shrout AB, Kopelman JN: Ultrasonographic diagnosis of uterine dehiscence during pregnancy. J Ultrasound Med1995;14:399–402.
9.
9. Hamar BD, Levine D, Katz NL, Lim KH: Expectant management of uterine dehiscence in the second trimester of pregnancy. Obstet Gynecol2003;102(5, Pt. 2):1139–1142.
10.
10. Bromley B, Pitcher BL, Klapholz H, Lichter E, Benacerraf BR: Sonographic appearance of uterine scar dehiscence. Int J Gynaecol Obstet1995;51:53–56.
11.
11. Rozenberg P, Goffinet F, Philippe HJ, Nisand I: Ultrasonographic measurement of lower uterine segment to assess the risk of defects of scarred uterus. Lancet1996;347:281–284.
12.
12. Gotoh H, Masuzaki H, Yoshida A, Yoshimura S, Miyamura T, Ishimaru T: Predicting incomplete uterine rupture with vaginal sonography during the late second trimester in women with prior cesarean. Obstet Gynecol2000;95:596–600.
13.
13. Asakura H, Nakai A, Ishikawa G, Suzuki S, Araki T: Prediction of uterine dehiscence by measuring lower uterine segment thickness prior to the onset of labor: evaluation by transvaginal ultrasonography. J Nippon Med Sch2000;67:352–356.