Spontaneous mid-trimester rupture of a non-scarred gravid uterus

Mridu Sinha, Sushma Raturi, Kimi Alwadhi


Gravid uterine rupture is a life threatening condition for both mother and her fetus. Spontaneous rupture usually occurs in scarred uterus in late pregnancy without any myometrial contraction. But, rupture of a non-scarred gravid uterus in early pregnancy is a rare complication. Clinical signs and symptoms of rupture in early pregnancy are non-specific and should be differentiated from other causes of acute abdomen so that proper action should be taken in time to reduce maternal morbidity and mortality. Here we report a case of spontaneous mid-trimester rupture of an unscarred uterus in which prior evacuation caused weakening of myometrium that might have given way in this pregnancy.


Spontaneous, Midtrimester, Uterine rupture, Non-scarred gravid uterus

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Gueye M, Baye MM, Ndiaye-Gueye MD, Kane-Gueye SM, Diouf AA, Niang MM. Spontaneous uterine rupture of an unscarred uterus before labour. Hindawi Publishing Corporation. Case Rep. Obstet Gynecol. 2012:231-32.

Sunanda N, Sudha R, Vineetha R. Second Trimester Spontaneous Uterine Rupture in a Woman with Uterine Anomaly: A Case Report. Int J Sci Stud. 2014;2(8):229-31.

Kiseli M, Artas H, Armagan F, Dogan Z. Spontaneous rupture of uterus in midtrimester pregnancy due to increased uterine pressure with previous laparoscopic myomectomy. Int J Fertil Steril. 2014;7:239-42.

Badial G, Fagan PJ, Masood M, Chakravarti S. Spontaneous uterine rupture at 22 weeks’ gestation in a multipara with previous hysteroscopic resection of fibroid. BMJ Case Rep. 2012;2012.

Sun HD, Su WH, Chang WH, Wen L, Huang BS, Wang PH. Rupture of a pregnant unscarred uterus in an early secondary trimester: a case report and brief review. J Obstet Gynaecol Res. 2012;38(2):442-5.

Nkwabong E, Kouam L, Takang W. Spontaneous uterine rupture during pregnancy: case report and review of literature. Afr J Reprod Health. 2007 Aug:11(2):107-12.

Vaknin Z, Maymon R, Mendlovic S, Barel O, Herman A, Sherman D. Clinical, sonographic and epidemiologic features of second and early third trimester spontaneous antepartum uterine rupture : a cohort study. Prenatal Diagnosis, Vol.28, Issue 6, 2008;478-84.