Volume 36, Issue 257 (5-2026)
J Mazandaran Univ Med Sci 2026, 36(257): 155-159 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Saghafi F, Gouran A. Spontaneous Second Trimester Uterine Rupture in a Scarred Uterus:A Rare Case Report. J Mazandaran Univ Med Sci 2026; 36 (257) :155-159
URL: http://jmums.mazums.ac.ir/article-1-22435-en.html
URL: http://jmums.mazums.ac.ir/article-1-22435-en.html
Abstract: (214 Views)
Background and purpose: Uterine rupture is a life-threatening obstetric emergency, most commonly occurring in the third trimester or during labor, particularly among women with a prior uterine scar. Spontaneous rupture in the second trimester is exceedingly rare. This study presents a case of uterine rupture to highlight the importance of timely diagnosis and the potential to reduce associated maternal morbidity and mortality.
Case Presentation:: A 29-year-old woman, gravida 2 para 1, at 24 weeks of gestation, presented with severe lower abdominal pain and moderate vaginal bleeding. She had a history of a previous cesarean section for failure to progress in labor. During the current pregnancy, she had been admitted at 16 weeks’ gestation with abdominal pain and vaginal bleeding and reported a domestic altercation two days prior to hospital attendance, without any direct abdominal trauma. On admission, her hemoglobin dropped from 13.4 g/dL to 7.5 g/dL within one hour. Ultrasound demonstrated a viable fetus in transverse lie, along with a subchorionic hematoma and normal amniotic fluid volume. Due to rapid hemodynamic deterioration, emergency laparotomy revealed complete rupture along the previous cesarean scar with massive intra-abdominal hemorrhage. An emergency hysterectomy was performed. The patient recovered uneventfully and was discharged on postoperative day 5.
Conclusion: Although rare, uterine rupture should be included in the differential diagnosis of acute abdomen during the mid-trimester of pregnancy, particularly in women with a previous cesarean section or a history of abdominal trauma. Early recognition and prompt surgical intervention are essential for maternal survival.
Case Presentation:: A 29-year-old woman, gravida 2 para 1, at 24 weeks of gestation, presented with severe lower abdominal pain and moderate vaginal bleeding. She had a history of a previous cesarean section for failure to progress in labor. During the current pregnancy, she had been admitted at 16 weeks’ gestation with abdominal pain and vaginal bleeding and reported a domestic altercation two days prior to hospital attendance, without any direct abdominal trauma. On admission, her hemoglobin dropped from 13.4 g/dL to 7.5 g/dL within one hour. Ultrasound demonstrated a viable fetus in transverse lie, along with a subchorionic hematoma and normal amniotic fluid volume. Due to rapid hemodynamic deterioration, emergency laparotomy revealed complete rupture along the previous cesarean scar with massive intra-abdominal hemorrhage. An emergency hysterectomy was performed. The patient recovered uneventfully and was discharged on postoperative day 5.
Conclusion: Although rare, uterine rupture should be included in the differential diagnosis of acute abdomen during the mid-trimester of pregnancy, particularly in women with a previous cesarean section or a history of abdominal trauma. Early recognition and prompt surgical intervention are essential for maternal survival.
Type of Study: Case Report |
Subject:
Gynecology and Infertility
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Articles Copyright © The Author(s). Owned by Mazandaran University of Medical Sciences.
Contact Us
Address: Journal Office, Building No. 2, Mazandaran University of Medical Sciences, Moallem Square, Sari.Tel: +98 (011)34484874 Postal code: 48175-866 E-Mail: jmums@mazums.ac.ir Telefax: +98 (011)33262679
