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Silent uterine rupture in scarred uterus
Ream Langhe1, Umme Farwa Shah2, Attia Alfathil2
1Obstetrics and Gynaecology, Midland Regional Hospital Mullingar, Mullingar, Ireland reamlanghe@yahoo.co.uk.
BMJ Case Reports
|March 27, 2017
Summary
Uterine rupture, a rare pregnancy complication, can occur before labor with subtle symptoms. This case highlights the importance of vigilance for this catastrophic event, even with minimal signs.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Uterine rupture is a rare but severe obstetric emergency.
- Previous cesarean section is a known risk factor.
Observation:
- A 28-year-old, fifth gravida woman at 39 weeks and 6 days gestation presented with headache, epigastric pain, and nausea.
- Elevated blood pressure and proteinuria were noted, suggestive of preeclampsia.
Findings:
- Emergency cesarean section revealed uterine rupture.
- A healthy male infant was delivered, and the mother had an unremarkable recovery.
Implications:
- Uterine rupture can present antepartum with minimal or no symptoms.
- Prompt diagnosis and management are crucial for maternal and fetal outcomes.
- This case underscores the need for high suspicion in pregnant patients with risk factors and concerning symptoms.
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