ABSTRACT
Uterine rupture in the second trimester is rare, but it is a surgical emergency. Also it results rapid deterioration of patient and high mortality despite of prompt therapy and massive transfusion. Radiologic studies often do not allow definitive diagnosis of it, so clinical judgement is critical for optimizing patient care. We present a case of spontaneous uterine rupture with fetal death in 17 weeks of pregnancy due to placenta percreta with brief review of the literature.
Subject(s)
Female , Humans , Pregnancy , Pregnancy , Diagnosis , Emergencies , Fetal Death , Mortality , Patient Care , Placenta Accreta , Pregnancy Trimester, Second , Uterine RuptureABSTRACT
BACKGROUND: lawsuits associated with medical troubles are increasing rapidly. Beginning with 69 cases in 1989, the annual rate of increase has reached above 36%. After the system of emergency medical specialist was born in 1995, it was expected that medical lawsuit cases would increase due to the importance of the emergency medical specialist's role to the emergent patients. METHODS: A database was established for medical lawsuits(1982~1998, n=254), and lawsuits involving the emergency department(1982~1998, n=16) were selected from that database. RESULTS: In criminal cases, the prosecutor's win rate was one out of four(25%). In civil cases, the prosecutor's win rate was 8 out of 10(80%); that is, the rate was higher than in general medical cases. CONCLUSION: To reduce the number of lawsuit following medical troubles in the emergency department, we should give careful attention and appropriate cure to patients who visit the emergency center.