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Posterior uterine rupture in early first trimester
  1. Isabela dos Anjos Siqueira,
  2. Sita Murugappan,
  3. Paul Howat and
  4. Arzoo Khalid
  1. Department of Obstetrics, The Northern Hospital, Melbourne, Victoria, Australia
  1. Correspondence to Dr Isabela dos Anjos Siqueira; beladosanjos{at}


Uterine rupture can be associated with severe maternal and neonatal morbidity and mortality. It should be considered as a differential diagnosis in all pregnant women who present with acute abdomen, haemoperitoneum and have specific risk factors, even during the first trimester. This is a case report of a 25-year-old woman who presented to emergency department with abdominal pain and vaginal bleeding at approximately 6–8 weeks gestation. She developed an acute surgical abdomen and required urgent surgical management. Despite intervention, she had massive haemorrhage, disseminate intravascular coagulation, admission to intensive care unit and prolonged hospital stay as complications. Posterior uterine wall rupture while rare, must be considered as a differential diagnosis as early intervention is crucial to prevent bad outcomes.

  • pregnancy
  • reproductive medicine
  • ultrasonography

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  • Contributors IdAS: involved in the case conception, planning and carrying out of the submitted work and wrote the manuscript and submitted to BMJ. SM: involved in the case reported and provided assistance with data collection and writing of the manuscript. PH: involved in critically revising manuscript as well as guidance of other authors. AK: involved in care of the patient, data collection and preparation of manuscript. All authors have read the final version and approved it for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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