E.N. VASILYEVA^1, 2, I.A. EDIFANOVA¹, T.G. DENISOVA^2–4, A.E. SIDOROV^1, 2, E.N. GRUZINOVA³

 ¹City Clinical Hospital No. 1, Cheboksary

²Chuvash State University named after I.N. Ulyanov, Cheboksary

³Mari El State University, Yoshkar-Ola

⁴Institute for Advanced Medical Studies, Cheboksary

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Vasilyeva E.N. — PhD (Medicine), Associate Professor of the Department of Obstetrics and Gynecology

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The article presents a clinical case of uterine rupture during pregnancy — a very rare pathology. According to the World Health Organization (WHO), the incidence of uterine rupture in the world is 0.05–0.31%, with 9 out of 10 ruptures occurring during childbirth, and only 1 during pregnancy. In the recent decade, there was an increase in the incidence of uterine ruptures in the structure of obstetric complications, which is due, among other things, to a widespread increase in the frequency of surgical activity of obstetricians and gynecologists.

A patient with tubal infertility after two ectopic pregnancies underwent treatment in a private clinic under the IVF program; pregnancy occurred on the fourth attempt. At 29 weeks of pregnancy, pain in the right groin area appeared. The patient sought emergency medical care and before the final diagnosis was established, she was hospitalized in the surgical department with suspected acute surgical pathology. Against the background of worsening clinical picture, the pregnant woman was transferred to the operating room, where during the operation the final diagnosis was established — uterine rupture along the scar after cauterization of the fallopian tube stump. A literature review shows that most cases of uterine rupture during pregnancy are diagnosed late — on the operating table. This article describes all stages of diagnostic search and successful treatment.

Key words: uterine rupture during pregnancy, ectopic pregnancy, tubectomy, infertility, cesarean section.

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