Posterior uterine rupture in early first trimester

• Published in: BMJ case reports Vol. 14; no. 12; p. e244801
• Main Authors: Dos Anjos Siqueira, Isabela, Murugappan, Sita, Howat, Paul, Khalid, Arzoo
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 01-12-2021; BMJ Publishing Group
• Subjects: Abdomen; Abdominal Pain - etiology; Adult; Case Report; Case reports; Data collection; Endometrium; Female; Fetuses; Gynecology; Hemoperitoneum - diagnostic imaging; Hemoperitoneum - etiology; Hemoperitoneum - surgery; Humans; Infant, Newborn; Laparoscopy; Laparotomy; Maternal mortality; Morbidity; Pregnancy; Pregnancy complications; Pregnancy Trimester, First; Ultrasonic imaging; Uterine Hemorrhage - etiology; Uterine Rupture - diagnosis; Uterine Rupture - etiology; Uterine Rupture - surgery; Uterus; Women; India; ultrasonography; reproductive medicine; pregnancy
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2021-244801

Uterine rupture can be associated with severe maternal and neonatal morbidity and mortality. It should be considered as a differential diagnosis in all pregnant women who present with acute abdomen, haemoperitoneum and have specific risk factors, even during the first trimester. This is a case report of a 25-year-old woman who presented to emergency department with abdominal pain and vaginal bleeding at approximately 6-8 weeks gestation. She developed an acute surgical abdomen and required urgent surgical management. Despite intervention, she had massive haemorrhage, disseminate intravascular coagulation, admission to intensive care unit and prolonged hospital stay as complications. Posterior uterine wall rupture while rare, must be considered as a differential diagnosis as early intervention is crucial to prevent bad outcomes.