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Uterine rupture of an unscarred gravid uterus at term attributed to adenomyosis
  1. Lucy Phillips1,
  2. Heather Brown2 and
  3. Anthony Williams2
  1. 1Obstetrics and Gynaecology, Royal Sussex County Hospital, Brighton, UK
  2. 2Royal Sussex County Hospital, Brighton, UK
  1. Correspondence to Dr Lucy Phillips; lucy.phillips2{at}


Uterine rupture is a rare obstetric emergency that is typically associated with the presence of scar tissue such as in the case of previous caesarean section. In this case report, a primigravid patient presented to the hospital in cardiac arrest with massive haemoperitoneum secondary to a posterior uterine rupture. The histological specimen was found to have diffuse adenomyosis at the site of rupture. On review of the literature, there is insufficient evidence to suggest we as clinicians should alter the antenatal care for patients with known adenomyosis; however, this case highlights how we should have a high index of suspicion for those presenting with signs and symptoms of uterine rupture with known adenomyosis in the absence of other risk factors.

  • pregnancy
  • pathology
  • adult intensive care

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: LP, HB and AW. The following authors gave final approval of the manuscript: LP, HB and AW.

  • 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.