DOI: 10.36347/sjams.2017.v05i12.053

Pages: 5069-5072

Uterine rupture is a catastrophic complication with a high incidence of fetal and maternal morbidity and mortality. It commonly presents with patient clinically in a state of shock, with compromised fetal and maternal outcome; with a previously scarred uterus. But rupture of the uterus in a primigravida with no high risk factors and no obvious signs is extremely rare. Herewith we report a case of primigravida with 34 weeks pregnancy, which came to the emergency department, with no high risk factors admitted with complaints of acute abdominal pain, relatively stable vital signs, no labour pains, and normal fetal heart rate. She had got an ultrasound done on the same day morning, suggestive of a large haemorrhagic ovarian cyst with severe oligohydramnios. Laparotomy was timely done with a differential diagnosis of ovarian cyst torsion. A single, live female baby, 2.2 kg was delivered by Lower Segment Caesarean Section. Surprisingly, on further exploration and exteriorization of uterus, it revealed a full thickness rent in the fundus of uterus. Both ovaries were normal. Blood clots about 50-80 cc were removed. Successful conservative operative procedure was done on the rare and dangerous ruptured uterus by suturing it back in two layers.