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Case Reports
. 2017 Dec 6;11(1):339.
doi: 10.1186/s13256-017-1507-9.

Uterine rupture in a primigravid patient, an uncommon but severe obstetrical event: a case report

Affiliations
Case Reports

Uterine rupture in a primigravid patient, an uncommon but severe obstetrical event: a case report

Lotte Posthumus et al. J Med Case Rep. .

Abstract

Background: A spontaneous rupture of the unscarred uterus in a primigravid patient is extremely rare and is associated with high perinatal and maternal morbidity and mortality.

Case presentation: A 34-year-old white primigravid woman, 31 + 3 weeks of gestation, presented with pre-eclampsia and developed a sudden acute abdomen. An emergency laparotomy was performed and a uterine rupture was found as the cause of the event. A stillborn girl was born.

Conclusion: A rupture of the pregnant uterus should always be considered in a pregnant woman presenting with abdominal pain, even in a primigravid patient.

Keywords: Acute abdomen; Primigravid; Unscarred uterus; Uterine rupture.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Rupture in the fundus of the uterus

References

    1. Hofmeyr GJ, Say L, Gulmezoglu AM. WHO systematic review of maternal mortality and morbidity: The prevalence of uterine rupture. BJOG. 2005;112(9):1221–8. doi: 10.1111/j.1471-0528.2005.00725.x. - DOI - PubMed
    1. Saglamtas M, Vicdan K, Yalcin H, Yilmaz Z, Yesilyurt H, Gokmen O. Rupture of the uterus. Int J Gynaecol Obstet. 1995;49(1):9–15. doi: 10.1016/0020-7292(95)02333-8. - DOI - PubMed
    1. Miller DA, Goodwin TM, Gherman RB, Paul RH. Intrapartum rupture of the unscarred uterus. Obstet Gynecol. 1997;89(5 Pt 1):671–3. doi: 10.1016/S0029-7844(97)00073-2. - DOI - PubMed
    1. Sweeten KM, Graves WK, Athanassiou A. Spontaneous rupture of the unscarred uterus. Am J Obstet Gynecol. 1995;172(6):1851–5. doi: 10.1016/0002-9378(95)91422-6. - DOI - PubMed
    1. Konje JC, Odukoya OA, Ladipo OA. Ruptured uterus in Ibadan – a twelve year review. Int J Gynaecol Obstet. 1990;32(3):207–13. doi: 10.1016/0020-7292(90)90347-N. - DOI - PubMed

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