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Defect in the uterine wall with prolapse of amniotic sac into it at 32 weeks' gestation in a primigravida woman without any previous uterine surgery
Author(s) -
Mishina Miyuki,
Hasegawa Junichi,
Ichizuka Kiyotake,
Oba Tomohiro,
Sekizawa Akihiko,
Okai Takashi
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12214
Subject(s) - medicine , gestation , uterus , myometrium , uterine cavity , fundus (uterus) , abdominal wall , amniotic sac , uterine rupture , echogenicity , ultrasound , pouch , abdominal pain , gynecology , pregnancy , obstetrics , surgery , fetus , amniotic fluid , radiology , genetics , biology
We experienced a case of uterine wall defect with amniocele in a primigravida woman without any history of uterine surgery. On admission due to acute abdominal pain at 32 weeks' gestation, an ultrasound examination showed a 9 × 7‐cm sized echogenic cystic area in the Morrison pouch. Color D oppler revealed a flow from the uterus into the cystic area through a myometrial defect. During the operation, a 1‐cm defect in the uterine myometrium was found on the right fundus. An intact amniotic sac was prolapsed into the abdominal cavity through the myometrial defect. This was an extremely rare case of unexplained uterine wall defect.