DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.047

Pages: 1058-1061

Uterine rupture is a rare but potentially fatal obstetric emergency, most commonly associated with previous uterine surgery. Spontaneous rupture in an unscarred uterus is extremely uncommon, particularly in the postpartum period. We report a case of a 36-year-old multiparous woman who presented with postpartum hemorrhage and abdominal pain eight hours after a spontaneous vaginal delivery. Imaging revealed a uterine wall defect with a large pelvic hematoma. Emergency surgery confirmed a 3 cm anterior uterine rupture and retroperitoneal hematoma, necessitating subtotal hysterectomy. The objective of this report is to illustrate the pivotal role of imaging in the unexpected diagnosis of uterine rupture in a postpartum patient with severe hemorrhage, despite the absence of prior uterine scarring. This case aims to highlight the imaging findings that enabled timely recognition of this rare complication and guided appropriate clinical management.