Silent uterine rupture in scarred uterus.
Uterine rupture in pregnancy is a rare and catastrophic complication with a high incidence of fetal and maternal morbidity. Very few cases have been reported in the literature.


METHODS
A 28-year-old fifth gravid woman with a history of one caesarean section presented to our department at 39 weeks and 6 days gestation with complaints of headache, epigastric pain and nausea. Her blood pressure was elevated and there was proteinuria. Emergency caesarean section was performed in view of symptoms. Uterine rupture was found during the surgery. A live male infant was delivered in good condition. Postnatal recovery was unremarkable and the woman discharged on postoperative day 5.


CONCLUSIONS
Rupture of the uterus can present in third trimester even before labour with minimal or no symptoms.
Obstetrics and Gynaecology, Midland Regional Hospital Mullingar, Mullingar, Ireland reamlanghe@yahoo.co.uk.
Ream
R
Langhe
Obstetrics and Gynaecology, Midland Regional Hospital Mullingar, Mullingar, Ireland.
Umme Farwa
UF
Shah
Obstetrics and Gynaecology, Midland Regional Hospital Mullingar, Mullingar, Ireland.
Attia
A
Alfathil
Obstetrics and Gynaecology, Midland Regional Hospital Mullingar, Mullingar, Ireland.
Michael
M
Gannon
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D009325:Nausea / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D014597:Uterine Rupture / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery
Obstetrics and gynaecology; Pregnancy