Abstract

Uterine rupture is a rare life threatening emergency with severe obstetric consequences. Most ruptures occur in a scarred uterus at the site of previous transmyometrial surgical incision. However, rupture on site distant from previous scar is a very rare entity. It is associated with major maternal and neonatal morbidity than rupture at a scarred area. Index case describes a scenario where uterine rupture occurred at the fundal region, far away from previous caesarean scar site leading to fetal demise. Till now, only a very few cases with uterine rupture away from the site of previous caesarean scar have been reported.
 Keywords: uterine rupture, unscarred uterus, acute abdomen, hemoperitoneum

Highlights

  • Uterine rupture is a rare but life threatening event

  • Index case describes a scenario where uterine rupture occurred at the fundal region, far away from previous caesarean scar site leading to fetal demise

  • Rupture of an unscarred area of uterus is estimated to occur in 1/5700 to 1/20,000 pregnancies [1], which roughly accounts for 13% of all uterine ruptures [2]

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Summary

Case study

|| Print ISSN: 2589-7837 || Online ISSN: 2581-3935 || International Journal of Medical Science and Diagnosis Research (IJMSDR). Available Online at www.ijmsdr.com NLM (National Library of Medicine ID: 101738824). Most ruptures occur in a scarred uterus at the site of previous transmyometrial surgical incision. Rupture on site distant from previous scar is a very rare entity. It is associated with major maternal and neonatal morbidity than rupture at a scarred area. Index case describes a scenario where uterine rupture occurred at the fundal region, far away from previous caesarean scar site leading to fetal demise. Only a very few cases with uterine rupture away from the site of previous caesarean scar have been reported.

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