A rare case report of total uterine rupture from cervix to fundus in an unmarried teenage pregnancy

Shanthi K. Elango, Rizwana Taj, Monisha Mohan


Uterine rupture is an uncommon and a life threatening obstetric complication. It is mainly a result of delivery by untrained personnel. This is a catastrophic situation where there is a high mortality rate for both the mother and the baby and a nightmare for the obstetrician also. There are many cases of uterine trauma reported in which there may be scar dehiscence, scar rupture, uterine rupture,perforation, cervical injuries, colporrhexis etc.This case report is regarding an unusual and rare presentation of a 19 year old unmarried girl who landed in our institution-a case of total and complete uterine rupture extending from cervix to fundus, a peculiar presentation, a hazardous result of Youtube delivery by her boyfriend highlighted. A scenario where the maternal anatomy totally distorted due to the trauma. This patient managed by immediate resuscitation and uterus reconstructive surgery successfully. In spite of  the advice not to conceive for the next few years, patient turned back to us in the late trimester within the next year itself, again a big challenge. Both the mother and baby managed successfully .With this case report we emphasize the need for immediate intervention in case of suspected uterine rupture and the possibility of successful subsequent pregnancy highlighted.


Rupture uterus, Colporrhexis, Cesarean section, Rent repair

Full Text:



Arnardóttir S, Geirsson RT. High Risk Pregnancy: Management Options edited by David James, Philip Steer, Carl P. Weiner, Berhard Gonik, Caroline A Crowther and Stephen C. Robson. Acta Obstet Gynecol Scand. 2011;90(12):1456.

Cunningham, Gary F. Williams Obstetrics 24/E. Williams Obstet (23a ed). 2014.

Arias. Practical Guide to High-Risk Pregnancy and Delivery A South Asian Perspective. Br J Psychiatry. 1965.

Grobman W. ACOG practice bulletin number 205 Vaginal Birth after Cesarean Delivery. Obstet Gynecol. 2019;133(2):e110-27.

Frank ZC, Lee VR, Hersh AR, Pilliod RA, Caughey AB. Timing of delivery in women with prior uterine rupture: a decision analysis. J Matern Neonatal Med. 2021;34(2):238-44 .

Astatikie G, Limenih MA, Kebede M. Maternal and fetal outcomes of uterine rupture and factors associated with maternal death secondary to uterine rupture. BMC Pregnancy Childbirth. 2017;17(1):117.