Abstract
Abstract. Introduction. Uterine rupture is a rare and life-threatening complication for patient and fetus. This pathology is mostly associated with pregnancy and occurs in late preterm periods, but there are also some cases of non-pregnant uterus ruptures described. Aim. This study is aimed at showing and analyzing the importance of uterine ruptures, even without any uterine scars and in the first half of pregnancy. Materials and Methods. This paper describes the clinical case of a multigravida patient with the rupture of unscarred uterus in the second trimester of pregnancy. Results and Discussion. A 32-year-old female patient was admitted to the department of gynecology at the gestational age of 16 weeks, complaining of severe abdominal pains, with the signs of intraabdominal bleeding. Histopathic rupture of the uterus was detected in the emergency laparotomy. Conclusions. Absence of uterine scars does not prevent from potential rupture of the uterus Timely diagnosis is necessary, and an emergency surgical intervention must be performed to save the patient’s life at any suspicion on uterine rupture. Even with early pregnancies, uterine rupture risks must be considered, especially regarding women with a history of uterine cavity surgeries. There is a question of the necessity to perform elective hysteroscopy during pregnancy planning to patients with the past history of uterine curettage
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