About the Journal | Editorial Board | Instructions to Contributors | Submission & Review | Advertise with Us | Subscribe to E- Alerts
Sitemap | Feedback
Advanced search
Journal of Case Reports
Fourteen-week Uterine Rupture: A Rare Cause of Acute Abdomen
Banwari Lal Bairwa1, Hemlata Baxi2, Aashik Kumar Singh3
Departments of 1Surgery, 2Obstetrics and Gynecology and 3Radiodiagnosis, M P Birla Hospital, Chittorgarh, Rajasthan, India. 
Corresponding Author:
Dr Banwari Lal Bairwa
Email: drbanwaribairwa@gmail.com
Received: 17-AUG-2021 Accepted: 01-NOV-2021 Published Online: 15-JAN-2022
DOI: http://dx.doi.org/10.17659/01.2022.0002
Background: Uterine rupture is a rare and life-threatening emergency with increased incidence of morbidity and mortality. Missed or delayed diagnosis of uterine rupture leads to fetal and maternal mortality. We report a case of acute abdomen with shock due to uterine rupture in 14 weeks pregnant female. Case Report: A 28-year-old 2nd gravida woman with previous caesarean section presented to emergency department at 14 weeks pregnancy with features of acute abdomen and shock. Resuscitation was done and urgent ultrasound abdomen revealed gross hemoperitoneum with uterine wall defect. Emergency laparotomy showed uterine rupture at previous caesarean scar site and approximately 2 liters of blood and intraperitoneal blood clots. Fetus was found dead. The uterine rupture was repaired successfully. Conclusion: This case report demonstrated that acute abdomen in pregnancy should be high index of suspicion, prompt evaluation and diagnosis with immediate surgical intervention are life saving measures. In pregnant women with acute abdomen, uterine rupture should be kept as a differential diagnosis. 
Keywords : Caesarean Section, Emergency care, Delayed Treatment, Pregnancy, Uterine Bleeding, Uterine Perforation.
Article Options
Search PubMed for
Search Google Scholar for
Article Statistics
Bookmark and Share