Abstract
Background: Uterine rupture is a catastrophic obstetric emergency with potentially life-threatening maternal and fetal outcomes. Malpresentation can add more risk factors for occurrence of this catastrophe. Case: Spontaneous uterine rupture occurred at 38 weeks of gestation in a 26-year-old woman with no risk factors except for malpresentation. Repair of fundal transverse tear was performed with an emergency laparotomy. Results: The patient's postoperative period was uneventful. Her postoperative hemoglobin level was 9.5 g/dL. She was discharged on day 4 after the operation with no complaints. Conclusions: Malpresentation alone can be a risk factor for spontaneous, third-trimester uterine rupture in an unscarred uterus. This occurrence is associated with poor fetal and maternal outcomes. Surgeons should explain to their patients the hazards of probable risk of recurrent uterine ruptures in future pregnancies. (J GYNECOL SURG 34:89)
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