Rupture of the ‘unscarred’ uterus at 35 weeks

25-year old woman presented with abdominal pain in her second pregnancy at 35 weeks of gestation with a history of an uncomplicated surgical evacuation of the uterus for a missed abortion earlier. Since admission she developed tachycardia and fetal bradycardia and therefore an emergency caesarian section was performed. She had a fundal uterine rupture which was bleeding. This case illustrates that uterine rupture is a possibility even without the typical history of uterine scarring.

Key words: rupture uterus before term; old perforation; signs of rupture.

Sri Lanka Journal of Obstetrics and Gynaecology 2011; 33: 114-115