title: Silent Spontaneous Uterine Rupture at 36 Weeks of Gestation.
abstract: Introduction. Silent spontaneous rupture of the uterus before term, with extrusion of an intact amniotic sac and delivery of a healthy neonate, with no maternal or neonatal morbidity or mortality is very rare. Very few cases have been reported in literature. Case Presentation. We report a case of silent spontaneous uterine rupture, found during a scheduled repeat cesarean section at 36 weeks of gestation. Patient had history of two prior classical cesarean sections. She underwent cesarean section, with delivery of a healthy male infant. She had a good postoperative recovery and was discharged on postoperative day 3. Conclusion. Silent spontaneous rupture of the uterus before term with extrusion of an intact amniotic sac is rare. A high index of suspicion and good imaging during pregnancy are important in making this diagnosis.
authors.affiliation: Department of Obstetrics and Gynecology, Michigan State University/Sparrow Hospital, Lansing, MI 48912, USA.
authors.forename: J Y
authors.initials: JY
authors.lastname: Woo
authors.affiliation: Department of Obstetrics and Gynecology, Michigan State University/Sparrow Hospital, Lansing, MI 48912, USA.
authors.forename: L
authors.initials: L
authors.lastname: Tate
authors.affiliation: Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Michigan State University/Sparrow Hospital, Lansing, MI 48912, USA.
authors.forename: S
authors.initials: S
authors.lastname: Roth
authors.affiliation: Department of Obstetrics and Gynecology, Michigan State University/Sparrow Hospital, Lansing, MI 48912, USA.
authors.forename: A C
authors.initials: AC
authors.lastname: Eke