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Unusual presentation of more common disease/injury
CASE REPORT
Silent uterine rupture in scarred uterus
  1. Ream Langhe⇑,
  2. Umme Farwa Shah,
  3. Attia Alfathil,
  4. Michael Gannon
  1. Obstetrics and Gynaecology, Midland Regional Hospital Mullingar, Mullingar, Ireland
  1. Correspondence to Dr Ream Langhe; reamlanghe{at}yahoo.co.uk

Summary

Uterine rupture in pregnancy is a rare and catastrophic complication with a high incidence of fetal and maternal morbidity. Very few cases have been reported in the literature.

Case presentation A 28-year-old fifth gravid woman with a history of one caesarean section presented to our department at 39 weeks and 6 days gestation with complaints of headache, epigastric pain and nausea. Her blood pressure was elevated and there was proteinuria. Emergency caesarean section was performed in view of symptoms. Uterine rupture was found during the surgery. A live male infant was delivered in good condition. Postnatal recovery was unremarkable and the woman discharged on postoperative day 5.

Conclusion Rupture of the uterus can present in third trimester even before labour with minimal or no symptoms.

  • Obstetrics and gynaecology
  • Pregnancy

https://doi.org/10.1136/bcr-2016-218189

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    Footnotes

    • Contributors RL: conception and design of study, acquisition of data. UFS and RL: analysis and/or interpretation of data, drafting the manuscript. UFS and MG: revising the manuscript critically for important intellectual content. RL, UFS, AA, MG: approval of the version of the manuscript to be published.

    • Competing interests None declared.

    • Patient consent Not obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.