Abstract

Background: Uterine rupture is a life-threatening obstetrical complication whose incidence has been increasing.

Case presentation: A 27-year-old patient, gravida two, para one, at 39 weeks 3 days referred from a District Hospital severely ill, Glasgow Coma Scale 10/15, BP: 70/42, Pulse: 134, Sat: 85% on room air and HB: 3,2 g/dl. Sonar DID: Free fluid in abdominal cavity, uterine rupture, fetus out of the uterine cavity, no fetal heart activity seen. The patient was transferred to the theatre, delivered stillborn male baby, weight: 3221 g. There is a fundal uterine rupture that was extended until both uterine horns, Total Abdominal Hysterectomy by Richardson Technique was performed and was discharged seven days later.

Conclusion: Spontaneous uterine rupture is rare in the unscarred uterus. However, can happen any time and in any trimester.