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Published on: September 12, 2025
Spontaneous rupture of uterine leiomyoma during labour
Nikki Ramskill1, Aisha Hameed1, Yusuf Beebeejaun1
1Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, London, UK.
Abstract:
Uterine rupture in labour requires an emergency caesarean section. In women with a uterine scar, either from gynaecological surgery or from a previous caesarean section, it is well documented that the risk of rupture is higher than in those without. Spontaneous uterine rupture in a uterus with fibroids during pregnancy or labour is extremely rare. We present a case of a 33-year-old, unbooked pregnant woman from Nigeria who had a uterine rupture secondary to fibroids. She required an emergency caesarean section in labour. The fibroids were not removed. Her baby was born alive and in good condition and she made an uneventful recovery.
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