[Conservative treament for a post trumatic uterine rupture in the 3rd trimester of pregnancy]

ABSTRACT

We report the case of a woman in her 38[th] week of pregnancy who was brought by the SAMU in a state of shock following a car accident. She was a multiple trauma case with lesions over the face, the abdomen, a left femur fracture and metrorrhagia. The abdominal ultrasound revealed the presence of an important hemoperitoneum and absence of the fetal heart sounds. The surgical exploration found a ruptured uterus and an intra peritoneal dead fetus. A conservative treatment was done in this primipara and the post surgical evolution was good