Ruptured uterus in primi para

ABSTRACT

Rupture of a gravid uterus is a surgical emergency. Spontaneous rupture of the uterus in a primipara is very rare. Furthermore, uterine rupture prior to the onset of active labor is extremely uncommon in a primipara, with very few reported cases. We present a case of antepartum uterine rupture in a 23-year-old gravida 2 para 0+1 with 26 weeks pregnancy in whom the clinical features resembled those of abruption placentae. She had past history of one uterine curettage and now presented with 26 weeks pregnancy and abdominal pain of sudden onset. After ultrasound scan, uterine rupture was diagnosed and an emergency laparotomy done. The entire amniotic sac was found in the peritoneal cavity with a rupture of the uterine fundus