ISSN: 2149-2247 | E-ISSN: 2149-2549
Erciyes Medical Journal Spontaneous Antepartum Posterior Wall Uterine Rupture in an Unknown Pregnancy [Erciyes Med J]
Erciyes Med J. 2021; 43(3): 293-295 | DOI: 10.14744/etd.2020.96337

Spontaneous Antepartum Posterior Wall Uterine Rupture in an Unknown Pregnancy

Gamze Türk1, Saliha Karagöz Eren2, Ümmügülsüm Özgül Gümüş1
1Department of Radiology, Kayseri Training and Research Hospital, Kayseri, Turkey
2Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey

Background: Uterine rupture is a rare but fatal complication of pregnancy, which should be diagnosed and treated promptly. Majority of rupture occur during labor in scarred uterus, though very rare, uterine rupture may also occur antepartum.
Case Report: A 32-year-old woman presented with spontaneous antepartum posterior wall uterine rupture with an unknown pregnancy, complaining with abdominal pain and impaired consciousness. At physical examination, she had a firm fullness at abdomen. The ultrasound was inconclusive due to intra-abdominal gas, except for pelvic free fluid, and computed tomography scans showed an intra-abdominal dead fetus. Surgery revealed a wide perforation at the posterior wall of uterus and massive hemoperitoneum, in addition to a dead fetus. The patient underwent hysterectomy due to poor tissue quality and extensive perforation. She made an uneventful recovery and was discharged at the end of 2 week.
Conclusion: Correct clinical history plays a major role in diagnosis. An enlarged uterus in a patient with previous cesarean section should alert the radiologist for uterine rupture. Whenever ultrasound imaging is insufficient to clarify the clinical manifestation, further imaging should be obtained.

Keywords: Acute abdomen, uterine rupture, posterior wall, antepartum, computed tomography.

Gamze Türk, Saliha Karagöz Eren, Ümmügülsüm Özgül Gümüş. Spontaneous Antepartum Posterior Wall Uterine Rupture in an Unknown Pregnancy. Erciyes Med J. 2021; 43(3): 293-295

Corresponding Author: Gamze Türk, Türkiye
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