The spontaneous prelabour rupture of anunscarred uterus at 34 weeks of pregnancy.

Abstract

Uterine rupture is an obstetric emergency needs immediate surgery and is associated with poor fetal & maternal outcome. Usually uterine rupture occurs at the lower segment (weakest part) if there is no history of uterine surgery. We hereby are reporting a case of spontaneous uterine rupture at fundus, at 34 weeks of gestation in a patient who has never had uterine surgery. Only uterine curettage was done once for missed abortion. In this case, diagnosis was delayed until the patient went into massive hemorrhagic shock; because, there was no history of previous uterine surgery. However, clinical picture of the ruptured uterus at the fundus suggests there was some weakness at the fundus. Thereafter, D & C operation was taken into account. Subtotal hysterectomy was done as the rupture was irreparable damage to the fundus. Her one month follow up was uneventful.

• Authors: Malabika Misra, Ronita Roychowdhury, Nayan Chandra Sarkar, Murary Mohan Koley
• Journal: Journal of clinical and diagnostic research : JCDR (J Clin Diagn Res) Vol. 7 Issue 3 Pg. 548-9 (Mar 2013) ISSN: 2249-782X [Print] India
• PMID: 23634419 (Publication Type: Journal Article)