title: Spontaneous midtrimester uterine rupture: a case report.
abstract: BACKGROUND
  Spontaneous mid trimester rupture of the uterus is uncommon.
  
  
  OBJECTIVE
  To report a case of spontaneous mid trimester uterine rupture in a patient with a previous caesarean section scar.
  
  
  METHODS
  A review of the case record of a patient managed for spontaneous mid-trimester uterine rupture and the relevant literature.
  
  
  RESULTS
  A 30-year old unbooked gravida 6, para 1(+4) house wife with a previous caesarean section scar presented with features of an acute surgical abdomen with hypovolaemic shock at 24 weeks gestation. She had an emergency laparotomy at which she was noted to have a uterine rupture. She had a repair of the uterus and bilateral tubal ligation. Her post operative state was uneventful.
  
  
  CONCLUSIONS
  There should be a high index of suspicion of uterine rupture in a gravid woman with a previous uterine scar presenting with abdominal pain and shock.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, P.M.B. 6173, Port Harcourt, Nigeria.
authors.forename: S A
authors.initials: SA
authors.lastname: Uzoigwe
authors.forename: P O
authors.initials: PO
authors.lastname: Fiebai
authors.forename: D A
authors.initials: DA
authors.lastname: MacPepple
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D012769:Shock / Q000209:etiology; D014597:Uterine Rupture / Q000628:therapy*