Evidence map›Paper›PMID 41063258›Full record

ArticleJournal of medical case reports2025

Early-third-trimester uterine rupture in an unscarred primigravida with a didelphic uterus: a case report.

Tirusew Nigussie Kebede, Getaneh Dejen Tiche, Tebabere Moltot Kitaw, Birhan Tsegaw Taye, Moges Sisay Chekole, Tesfanesh Lema, Mulualem Sileshi, Girma Wogie Fitie, Mesfin Tadese, Kidist Ayalew Abebe and 2 more

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In one paragraph

Article in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Tirusew Nigussie KebedeDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia. tirusew1221@gmail.com.
Getaneh Dejen TicheDepartment of Obstetrics and Gynecology, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Tebabere Moltot KitawDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia.
Birhan Tsegaw TayeDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia.
Moges Sisay ChekoleDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia.
Tesfanesh LemaDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia.
Mulualem SileshiDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia.
Girma Wogie FitieDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia.
Mesfin TadeseDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia.
Kidist Ayalew AbebeDepartment of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, P.O.BOX: 445, Debre Berhan, Ethiopia.
Legesse DemissieDepartment of Obstetrics and Gynecology, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Zekarias TayeDepartment of Obstetrics and Gynecology, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUterus didelphys, one of the rarest types of Müllerian anomaly, is characterized by the presence of two separate uterine horns and/or two distinct cervices due to the failure of Müllerian duct fusion. It is associated with poor obstetric outcomes, including spontaneous abortion, preterm labor, fetal malpresentation, and, rarely, uterine rupture. CASE PRESENTATION: A 19-year-old primigravida from Sela Dingay woreda (resident of Sela Dingay town) in the North Shewa Zone of the Amhara Region was urgently referred to Debre Berhan University Hakim Gizaw Teaching Hospital from the woreda health center with a diagnosis of early third-trimester pregnancy (29 weeks, confirmed by a reliable last normal menstrual period) complicated by placental abruption. Clinical and instrumental evaluations revealed severe anemia (hemoglobin 5.5 g/dL), free fluid in the peritoneal cavity, absent fetal heartbeat, and a fundal placenta. Vaginal examination revealed a single cervix dilated to 1 cm. Given the suspicion of uterine rupture, preparations for an emergency laparotomy were initiated. After transfusing 2 units of fresh whole blood and obtaining informed consent, surgery was performed. Intraoperative findings included a rupture of the posterior aspect of the right hemi-uterus in a didelphic uterus. A newly deceased female fetus weighing 1.2 kg was extracted from the peritoneal cavity, and a subtotal hysterectomy of the ruptured hemi-uterus was carried out. Following postoperative stabilization in the intensive care unit, the patient was transferred to the maternity ward and discharged on the fifth postoperative day. She received counseling on future pregnancies, was administered Implanon NXT for long-acting contraception, and prescribed ferrous sulfate for 1 month. This case underscores the critical importance of comprehensive prenatal screening and vigilant management of pregnancies complicated by uterine anomalies to minimize risks and optimize maternal-fetal outcomes.

conclusionUterine didelphys is rarely associated with early-third-trimester pre-labor uterine rupture, but when it occurs, it results significant feto-maternal comorbidity. Therefore, it is advisable to screen every primigravida mother for uterine anomalies in addition to performing fetal anatomical scans in the early trimester. This is crucial because the complications associated with this anomaly can be unexpected and may lead to maternal and fetal morbidity and mortality due to delayed treatment.

Indexed as

Urogenital AbnormalitiesUterine RuptureUterusAbruptio PlacentaeFemaleHumansPregnancyPregnancy Trimester, ThirdUterine DidelphysYoung AdultEarly pregnancyPrimigravidaUterine didelphysUterine rupture

Identifiers

PMID41063258
PMCPMC12506281

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.