Background: Uterine rupture occurs when there is complete or partial separation of the uterine wall. It is associated with increased morbidity and mortality for both the mother and the infant.
Case: A pregnant woman presents to the emergency room complaining of two weeks of abdominal pain at 17 weeks gestation. She was evaluated in an outlying emergency department when she became unstable and was transferred to a tertiary care center. A bedside ultrasound as well as commuted tomography revealed an extrauterine fetus, and she was taken to the operating room for exploratory laparotomy. Surgery revealed complete uterine rupture at the fundus with the fetus expelled into the abdomen.
Conclusion: This case offers review of a rare outcome of uterine rupture during the second trimester and risks factors to be monitored for futures cases.
Tiffany R Tonismae, Christinne Canela and Elizabeth McCuin