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Title of Journal: Arch Gynecol Obstet

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Abbravation: Archives of Gynecology and Obstetrics

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Springer-Verlag

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DOI

10.1007/bf00630456

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1432-0711

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“Masked uterine rupture” key to diagnosis

Authors: Shigeki Matsubara
Publish Date: 2012/05/09
Volume: 286, Issue: 4, Pages: 1075-1076
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Abstract

I read with interest the article “Uterine perforation with omentum incarceration after dilatation and evacuation/curettage magnetic resonance imaging findings” by Koshiba et al 1 Dilatation and evacuation caused uterine perforation which remained undiagnosed for 28 days The omentum was incarcerated and thus occluded the uterine perforation which “masked” the perforation and also “masked” the symptoms and signs that usually accompany this condition Thus the perforation remained undiagnosed for a long time Magnetic resonance imaging was useful to establish the diagnosis Briefly describing our experience and reviewing previously reported cases I hope to introduce a new concept the “masked uterine rupture” For simplicity I have used the term “uterine rupture” to indicate both uterine rupture and perforation

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