Silent Spontaneous Uterine Rupture at 36 Weeks of Gestation

Abstract EN

Introduction.

Silent spontaneous rupture of the uterus before term, with extrusion of an intact amniotic sac and delivery of a healthy neonate, with no maternal or neonatal morbidity or mortality is very rare.

Very few cases have been reported in literature.

Case Presentation.

We report a case of silent spontaneous uterine rupture, found during a scheduled repeat cesarean section at 36 weeks of gestation.

Patient had history of two prior classical cesarean sections.

She underwent cesarean section, with delivery of a healthy male infant.

She had a good postoperative recovery and was discharged on postoperative day 3.

Conclusion.

Silent spontaneous rupture of the uterus before term with extrusion of an intact amniotic sac is rare.

A high index of suspicion and good imaging during pregnancy are important in making this diagnosis.