title: The spontaneous prelabour rupture of anunscarred uterus at 34 weeks of pregnancy.
abstract: Uterine rupture is an obstetric emergency needs immediate surgery and is associated with poor fetal & maternal outcome. Usually uterine rupture occurs at the lower segment (weakest part) if there is no history of uterine surgery. We hereby are reporting a case of spontaneous uterine rupture at fundus, at 34 weeks of gestation in a patient who has never had uterine surgery. Only uterine curettage was done once for missed abortion. In this case, diagnosis was delayed until the patient went into massive hemorrhagic shock; because, there was no history of previous uterine surgery. However, clinical picture of the ruptured uterus at the fundus suggests there was some weakness at the fundus. Thereafter, D & C operation was taken into account. Subtotal hysterectomy was done as the rupture was irreparable damage to the fundus. Her one month follow up was uneventful.
authors: Assistant Professor, Department of Obstetrics and Gynaecology.
authors: Malabika
authors: M
authors: Misra
authors: Ronita
authors: R
authors: Roychowdhury
authors: Nayan Chandra
authors: NC
authors: Sarkar
authors: Murary Mohan
authors: MM
authors: Koley
keywords: Fundal rupture; Preterm uterine rupture; Unscarred ruptured uterus
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