Spontaneous first trimester posterior uterine rupture in a multiparous woman with scarred uterus: A case report

Abstract

Uterine rupture (UR) is a life threatening peripartum complication with high incidence of maternal morbidity and mortality. Posterior wall uterine rupture is a rare presentation especially in the first trimester. Herein, we experienced a case of spontaneous UR in a 24-year-old gravida 3 para 2 pregnant woman at gestational age of 10 weeks presented with acute abdomen. Clinical and ultrasonographic findings were suspicious towards ruptured ectopic pregnancy. However, abdominal exploration revealed posterior wall UR away from the site of lower segment cesarean scar. The tear was repaired in three layers and the patient was discharged after 4 days of hospital stay. UR should be considered in any pregnant woman with hemoperitoneum, Posterior uterine wall rupture is a rare presentation in the first trimester, but must be kept in mind as early intervention is the only way to save the mother's life.

Keywords

• Rupture uterus
• Maternal morbidity
• First trimester
• Scarred uterus
• Posterior uterine wall