Spontaneous Rupture of an Unscarred Non-Laboring Gravid Uterus at Term: A Case Report
DOI:
https://doi.org/10.69614/ejrh.v14i2.417Keywords:
uterine rupture, unscarred uterus, upper gastrointestinal bleeding, intrauterine fetal deathAbstract
Background: Rupture of the pregnant uterus is life-threatening for the mother and fetus. Most ruptures occur in women who have had a previous transmyometrial surgical incision, typically for cesarean delivery. Rupture of the unscarred uterus is rare, but the incidence is increasing. It is associated with higher major maternal and neonatal morbidity than cases of rupture of the scarred uterus.
Case presentation: Here we presented a case of 36 years old gravida 4 para3 presented at gestational age of 38 weeks with vomiting of ingested matter mixed with blood and abdominal pain of 12 hours and, initially diagnosed to have Placenta previa, severe anemia secondary to acute blood loss secondary to upper gastrointestinal bleeding, Intrauterine fetal death. Finally diagnosed to have uterine rupture and total abdominal hysterectomy done.
Conclusion: A high index of suspicion is needed in pregnant patients presenting with sudden onset of abdominal pain so as not to miss uterine rupture and its complications.
References
2. Nanda K, Singh S, Dhama V, Choudhary R, Azad R. Case Report A rare case of spontaneous posterior wall rupture in an unscarred uterus during labour. 2017;6(9):4127–30.
3. Shruthi K, Sreelatha S, Kumar S. Gynaecology and Perinatology A Rare Case of Uterine Rupture in an Unscarred Uterus. 2018;2(3):281–4.
4. Posthumus L, Donker ME. Uterine rupture in a primigravid patient , an uncommon but severe obstetrical event?: a case report. 2017;9–12.
5. Silva GRC, Gange P, Karunarathne N, Senevirathne N. Spontaneous rupture of an unscarred non-labouring gravid uterus at 32 weeks gestation. 2012;34(2):53–4.
6. Zhao Y, Tian B, Xu Y, Dai H. Case Report Spontaneous prelabor unscarred uterine rupture in primigravida?: a case report and review of literature. 2017;10(4):7296–303.
7. Wang Y-L, Su T-H. Obstetric uterine rupture of the unscarred uterus: a twenty-year clinical analysis. Gynecol Obstet Invest. 2006;62(3):131–5.
8. J Kaur BG, A Sehgal. Rupture uterus following blunt trauma at 16 weeks gestation. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 2012; 1: 64-66
