International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 10 | Case Report | Open Access DOI
Saira Waheed*
Saira Waheed1*, Javairia Basit2
1FCPS Obstetrics and Gynaecology, MRCOG, York and Scarborough NHS Trust UK
2Obstetrician and Gynecologist, Obstetrics and Gynecology Department, PAEC Hospital Joharabad, Punjab, Pakistan
*Correspondence to: Saira Waheed
Fulltext PDFBackground: Uterine rupture in early pregnancy is a rare and life-threatening condition, particularly in patients with prior uterine surgeries. This case report details the clinical presentation, management, and outcomes of a 32-year-old woman with an 8-week pregnancy who presented in shock.
Case Presentation: The patient, gravida 4 para 3 with a history of three prior caesarean sections, arrived at the emergency department with abdominal pain, hypovolemic shock, and signs of hemoperitoneum. Ultrasound revealed a viable intrauterine pregnancy and massive free fluid. Emergency laparotomy confirmed a 1.5 cm uterine rupture at the left uterine angle with 2 litres of blood in the peritoneum. Surgical management involved repair of the uterine rupture and bilateral tubal ligation.
Conclusion: This case underscores the importance of recognizing uterine scarring as a risk factor for rupture in early pregnancy. Rapid diagnosis and surgical intervention are crucial to prevent fatal outcomes.
Uterine rupture, First trimester, Previous caesarean section, Hemoperitoneum, Emergency laparotomy
Saira Waheed, Javairia Basit. Rare First-Trimester Uterine Rupture in a Multi-Scarred Uterus: A Case Study on Emergency Management and Outcomes. Int Clinc Med Case Rep Jour. 2024;3(10):1-3.