A rare case of posterior wall uterovaginal rupture in a primigravida: points to ponder in a peripheral set up

Niraj Chourey; Ravishekar N. Hiremath; Saroj Kumar Chaudhary; Pooja Sinha; Namratha Sandhu

doi:10.18203/2320-1770.ijrcog20220924

Authors

Niraj Chourey Department of OBG, AFMS, New Delhi, India
Ravishekar N. Hiremath Department of Community Medicine, AFMS, New Delhi, India
Saroj Kumar Chaudhary Department of Surgery, AFMS, New Delhi, India
Pooja Sinha Department of OBG, AFMS, New Delhi, India
Namratha Sandhu Department of OBG, AFMS, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220924

Keywords:

Posterior wall, Uterovaginal rupture, Primigravida

Abstract

Rupture of uterus in a primigravida lady is extremely rare and in most cases it is unalarmed or totally unexpected. The incidence of uterine rupture in general (primigravida or multigravida) is significantly higher in developing countries than in developed countries. Here we present a healthy 24-year-old primigravid woman presented in labor at 39 weeks of gestation with no known comorbidity. She had no significant past medical history and her antenatal care had been uneventful. Intraoperatively the patient was found to have posterior utero-vaginal tear which was repaired subsequently. This case of primigravida, is a rare one and important points to ponder in a periphery setup are discussed here.

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