Prelabor third-trimester uterine rupture in an unscarred uterus with occlusion by fetal small parts: a case report.
BACKGROUND
Rupture of an unscarred uterus is a rare and potentially catastrophic event. Common presenting signs and symptoms include abdominal pain, fetal heart rate abnormalities, and evidence of hypovolemia.


METHODS
A woman with a history of 2 prior uncomplicated first-trimester pregnancy terminations presented several years later at 32 weeks' gestation with abdominal pain and no other evidence of uterine rupture. Her clinicians suspected appendicitis, and computed tomography revealed a circular fundal uterine rupture occluded by extrusion of the fetal legs through the defect. Emergent cesarean delivery resulted in a good outcome for mother and baby.


CONCLUSIONS
Clinicians should consider uterine rupture as a possible diagnosis when patients present with abdominal pain, even without common risk factors linical evidence of a ruptured uterus.
Department of Obstetrics and Gynecology, Florida Hospital Graduate Medical Education Program, Florida Hospital, Orlando, Florida 32804, USA.
Leslie
L
Blihovde
Justin
J
Tawfik
D Ashley
DA
Hill
D015746:Abdominal Pain / Q000209:etiology; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D014057:Tomography, X-Ray Computed; D014597:Uterine Rupture / Q000000981:diagnostic imaging* / Q000601:surgery