SPONTANEOUS UTERINE RUPTURE DURING PREGNANCY - A CASE REPORT

Abstract

Uterine rupture in pregnancy is very rare
and potentially catastrophic for both
mother and fetus. The most common
cause of uterine rupture is giving away of
previous caesarean uterine scar. Spontaneous
rupture of an unscarred uterus
during pregnancy is a rare occurrence.
We hereby present a rare case of a
spontaneous complete uterine rupture in
a non labouring unscarred uterus of a 33
year old nulliparous women at 35 weeks
of gestation. She presented with lower
abdomen pain and decreased fetal
movements at our Hospital. Even before
getting into labour ,patient suddenly collapsed
and Emergency laparotomy was
proceeded in view of suspicious concealed
abruption. There was frank hemoperitoneum
along with a dead baby in
the abdominal cavity. There was rupture
of uterine fundus extending from one cornual
end to the other and closure of uterine
rent proceeded. Spontaneous rupture
of uterus occurs when there is a an upper
segment uterine scar.
She had a past history of eventful uterine
curettage which was the risk factor for uterine
rupture.