Spontaneous Uterine Rupture at Twenty Weeks of Pregnancy

Abstract

Uterine rupture is one of the most feared obstetric complications affecting the pregnant woman and fetus. It is an obstetric dilemma. Most of the cases have various risk factors and mainly occur during the third trimester. However, spontaneous uterine rupture during the first and second trimester are extremely rare. We experienced a case of spontaneous fundal uterine rupture in a 32 yr-old multiparous woman with two previous lower segment cesarean section. The initial impression was adhesive intestinal obstruction with normal early pregnancy.but with decreasing packed cell volume and pelvic ultrasound scan showing herniation of amniotic membrane, diagnosis of rupture uterus was made. High index of suspicion, good clinical acumen and radiological and laboratory support often necessary for accurate diagnosis and immediate management.