Cover Image




Spontaneous rupture of unscarred gravid uterus is a rare occurrence and that occurring in midtrimester is very rare. Rupture of gravid uterus is a surgical emergency. We hereby report a case of multiparous woman G4P3L3 with spontaneous rupture of gravid uterus in mid trimester which was managed in our hospital. Patient presented with  breathlessness and abdominal distension. There was no past history of uterine curettage or surgery on uterus. After   ultrasonogram, uterine rupture was diagnosed for which emergency laparotomy was done. There was a rent in the fundus and right cornua of the uterus with the amniotic sac lying in the peritoneal cavity. Subtotal hysterectomy was done and the patient recovered well.


Full Text:



Eden RD, Parker RT, Gall SA. Rupture of the pregnant uterus. A 35 year review. Obstet Gynecol 1986;68:671-4.

Levrant SG, Wingate M. Midtrimester uterine rupture. J Reprod Med 1996;41:186.

Sweeten KM, Graves WK, Athanassiou A. Spontaneous rupture of the unscarred uterus. Am J Obstet Gynecol 1995;172:1851-6.

Zelop CM, Shipp TD, Lieberman E et al. Uterine rupture during induced or augmented labor in gravid women with one prior cesarean delivery. Am J Obstet Gynecol 1999;181:882-6.

Ravsia DJ, Wood SL, Pollard JK. Uterine rupture during induced trial of labor among women with previous cesarean delivery. Am J Obstet Gynecol 2000;183:1176-9.

Zelop CM, Shipp TD, Repke JT et al. Effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor. Am J Obstet Gynecol 2000;183;1184-6.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University