Spontaneous antenatal uterine rupture in a primiparous patient with placenta praevia: Does previous laparoscopic treatment of endometriosis increase the risk?

Abstract

Background Unprovoked spontaneous uterine rupture in a primigravid unscarred uterus is a rare but serious obstetric complication. Our case highlights a prelabour uterine rupture in a primiparous patient with an anterior placenta praevia and transverse lie at 32 weeks. Case presentation The patient presented with severe continuous abdominal pain and an abnormal Cardiotocograph antenatally. An emergency Caesarean section done with suspicion of concealed abruption revealed a cornual uterine rupture with 2 L of hemoperitoneum. Conclusion The patient and her baby recovered well from surgery, thus, emphasizing the necessity of timely intervention. An association with previous laparoscopic treatment of severe endometriosis and adenomyosis is explored.