Spontaneous Unscarred Fundal Rupture of Uterus at 16 Weeks of Pregnancy

Abstract

Most of the cases of rupture of uterus occurs in the third trimester of pregnancy or during labour but here we report a thirty five year old women G3, P1+1, LCB 10 years back , mode of delivery by LSCS was admitted in MG ward of Malda medical college, West Bengal, India at 16 weeks of pregnancy with complain of acute abdominal pain, vomiting with clinical sign of shock without vaginal bleeding. Haemoperitoneum and dead fetus outside the uterus was discovered by urgent USG of whole abdomen. Emergency laparotomy was carried out and it revealed haemoperitoneum due to spontaneous rupture of uterine fundus through which fetus and placenta were extruded in peritoneal cavity. Though spontaneous fundal rupture is very rare in early second trimester of pregnancy, it should be taken into consideration in the differential diagnosis of acute abdomen during pregnancy specially if there is predisposing factors.