Asian Research Journal of Gynaecology and Obstetrics

Second Trimester Uterine Rupture of an Unscarred Uterus in a Primigravida: A Case Report

Sunitha Sreedhar *

Department of Obstetrics and Gynaecology, Apollo Hospitals, Bannerghatta Road, Bangalore, Karnataka 560076, India.

Anjali Antony

Department of Obstetrics and Gynaecology, Apollo Hospitals, Bannerghatta Road, Bangalore, Karnataka 560076, India.

*Author to whom correspondence should be addressed.

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Abstract

Antepartum uterine rupture in an unscarred uterus is extremely rare. Early-pregnancy uterine rupture in nulliparous women is an uncommon, unpredictable occurring event with substantial maternal morbidity and catastrophic fetal outcomes.  Undiagnosed uterine perforation could be the cause of this dangerous condition underestimated in the literature. We report a rare case where undiagnosed uterine perforation during curettage could be the cause of uterine rupture.

Keywords: Rupture uterus, spontaneous, unscarred uterus

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References

Gibbins KJ, Weber T, Holmgren CM, Porter TF, Varner MW, Manuck TA. Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. American Journal of Obstetrics and Gynecology. 2015;213(3):382-e1.

You SH, Chang YL, Yen CF. Rupture of the scarred and unscarred gravid uterus: Outcomes and risk factors analysis. Taiwanese Journal of Obstetrics and Gynecology. 2018;57(2):248-54.

Available:www.uptodate.com/contents/uterine-rupture-unscarred-uterus

Boujida S, M'Hamdi O, Flissate F, Baidada A, Kharbach A. Placenta percreta as a cause of uterine rupture in the second trimester: Case report. International Journal of Surgery Case Reports. 2022;94:107069.

Damiani GR, Gaetani M, Landi S, Lacerenza L, Barnaba M, Spellecchia D, Pellegrino A. Uterine rupture in a nulliparous woman with septate uterus of the second trimester pregnancy and review in literature. International Journal of Surgery Case Reports. 2013;4(3):259-61.

Li X, Li C, Sun M, Li H, Cao Y, Wei Z. Spontaneous unscarred uterine rupture in a twin pregnancy complicated by adenomyosis: A Case report. Medicine. 2021;100(3).

Heemskerk SG, Ten Eikelder ML, Janssen CA. Uterine rupture in pregnancy after an intervention complicated by uterine perforation: Case report and systematic review of literature. Sexual & Reproductive Healthcare. 2019;19:9-14.

Cunnungham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams obstetrics, 25e, New York, NY, USA: Mcgraw-Hill. 2018;765-767.

Pepin M, Schwarze U, Superti-Furga A, Byers PH. Clinical and genetic features of Ehlers–Danlos syndrome type IV, the vascular type. New England Journal of Medicine. 2000;342(10):673-80.

Chen FP. Term delivery after repair of a uterine rupture during the second trimester in a previously unscarred uterus: A case report. The Journal of Reproductive Medicine. 2007;52(10):981-3.

Aggarwal S, Jindal M, Minhas S. Case series on uterine rupture depicting the atypical presentations in the labour room. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2021;10(12):4549-53.

Abdalla N, Reinholz-Jaskolska M, Bachanek M, Cendrowski K, Stanczak R, Sawicki W. Hemoperitoneum in a patient with spontaneous rupture of the posterior wall of an unscarred uterus in the second trimester of pregnancy. BMC Research Notes. 2015;8(1):1-3.

Chibber R, El-Saleh E, Fadhli RA, Jassar WA, Harmi JA. Uterine rupture and subsequent pregnancy outcome–how safe is it? A 25-year study. The Journal of Maternal-Fetal & Neonatal Medicine. 2010;23(5):421-4.

Abdulwahab DF, Ismail H, Nusee Z. Second-trimester uterine rupture: Lessons learnt. The Malaysian Journal Of Medical Sciences. MJMS. 2014;21(4):61.

Heemskerk SG, Ten Eikelder ML, Janssen CA. Uterine rupture in pregnancy after an intervention complicated by uterine perforation: Case report and systematic review of literature. Sexual & Reproductive Healthcare. 2019;19:9-14.