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Spontaneous midtrimester uterine rupture: a case report.
S A Uzoigwe1, P O Fiebai, D A MacPepple
1Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, P.M.B. 6173, Port Harcourt, Nigeria.
Summary
Spontaneous uterine rupture is rare, especially in the mid-trimester. A previous cesarean scar increases risk, necessitating high suspicion in patients with abdominal pain and shock.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Case Reports
Background:
- Spontaneous uterine rupture during the mid-trimester of pregnancy is an uncommon obstetric emergency.
- Risk factors for uterine rupture include prior uterine surgeries, such as cesarean section.
Observation:
- A 30-year-old woman, gravida 6 para 1(+4), with a history of cesarean section presented at 24 weeks gestation.
- She exhibited symptoms of an acute surgical abdomen and hypovolemic shock.
Findings:
- Emergency laparotomy revealed a spontaneous uterine rupture.
- The uterus was repaired, and bilateral tubal ligation was performed.
- The patient experienced an uneventful postoperative recovery.
Implications:
- Clinicians should maintain a high index of suspicion for uterine rupture in pregnant patients with a previous uterine scar presenting with abdominal pain and shock.
- Prompt diagnosis and surgical management are crucial for maternal outcomes in cases of uterine rupture.
