Critical Care Obstetrics and Gynecology

Uterine Rupture in an Unscarred Uterus: A Case Report

Uterine rupture in the gravid uterus is a rare, often critical complication that occurs in a scarred and to a lesser extent in an unscarred uterus. It is associated with catastrophic feto-maternal outcomes. The majority of cases are linked to previous uterine defects such as previous cesarean delivery and myomectomy. Low suspicion in rare occurrences, early recognition and intervention form the basis of achieving favourable outcomes. We present a case of a 37-year-old woman, who had complete posterior wall uterine rupture with partial avulsion of the left ovary after induction of labour. Her total blood loss was 3.5 litres and managed by subtotal hysterectomy with left salpingectomy. A stillborn girl was delivered.

Fatema Alhubaishi