Abstract

Mariam Mahtate*, Aziz Slaoui, Soukaina Cherradi, Najia Zeraidi, Amina Lakhdar and Aziz Baydada

ABSTRACT

Background: Uterine rupture during the 2nd and 3rd trimester of pregnancy is a rare serious obstetric complication that can cause maternal or fetal death. It mainly occurs in women who have had scarred uterus and it is anecdotal in those with unscared uterus. Case report: This case describes spontaneous uterine rupture in a 28-year-old primigravid woman at 28 weeks gestation. Who suffered uterine rupture on an unscarred uetrus. She presented with abdominal pain and no obvious risk factors. Ultrasound showed an empty endometrial cavity extending directly into the amniotic sac. A laparotomy was performed which revealed rupture of the fundus of the uterus with exteriorization of most of the amniotic sac.the pregnancy was removed and the uterine rupture was been repaired. Conclusion: Early diagnosis and prompt treatment of uterine rupture may significantly improve prognosis. This severe obstetric complication should be considered even in early gestational age pregnancies and in the absence of known risk factors.