title: Rupture of the uterus in a primigravida: a case report.
abstract: Uterine rupture during a first pregnancy is rare. We present the case of spontaneous intrapartum uterine rupture in a 40 year old primigravida with no prior uterine surgery, and a structurally normal uterus. The patient had obstructed labor. Operative findings were a male fresh stillbirth weighing 3800 g, massive hemoperitoneum, and an anterior transverse rupture at the lower uterine segment. Repair of the rupture was done without bilateral tubal ligation. Although a rare event, the primigravid uterus is not immune to rupture as exemplified by this report.
authors.affiliation: Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria. chigbub@yahoo.com
authors.forename: B
authors.initials: B
authors.lastname: Chigbu
authors.forename: S
authors.initials: S
authors.lastname: Onwere
authors.forename: C
authors.initials: C
authors.lastname: Kamanu
authors.forename: C
authors.initials: C
authors.lastname: Aluka
authors.forename: E
authors.initials: E
authors.lastname: Adibe
authors.forename: C
authors.initials: C
authors.lastname: Onichakwe
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D020073:Gravidity; D006801:Humans; D010535:Laparoscopy; D010533:Peritoneal Lavage; D011247:Pregnancy; D011256:Pregnancy Outcome; D050497:Stillbirth; D014597:Uterine Rupture / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy