First trimester uterine rupture-a rare but catastrophic event: a case report

Suchita Tripathi; Sugandh Srivastava; Shruti Gupta; Renu Gupta; Neena Gupta

doi:10.18203/2320-1770.ijrcog20231587

Authors

Suchita Tripathi Department of Obstetrics and Gynaecology, UISEMH, GSVM Medical College, G.T. Road, Kanpur, Uttar Pradesh, India
Sugandh Srivastava Department of Obstetrics and Gynaecology, UISEMH, GSVM Medical College, G.T. Road, Kanpur, Uttar Pradesh, India
Shruti Gupta Department of Obstetrics and Gynaecology, UISEMH, GSVM Medical College, G.T. Road, Kanpur, Uttar Pradesh, India
Renu Gupta Department of Obstetrics and Gynaecology, UISEMH, GSVM Medical College, G.T. Road, Kanpur, Uttar Pradesh, India
Neena Gupta Department of Obstetrics and Gynaecology, UISEMH, GSVM Medical College, G.T. Road, Kanpur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231587

Keywords:

Uterine rupture, Early pregnancy, Obstetric emergency

Abstract

Uterine rupture is a rare but life threatening obstetrical emergency. It often occurs at term during trail of labour but rarely may occur during early pregnancy in first trimester. Here, we report a case of 28 years, G2P1+0L0 at 3 months of pregnancy with fundal rupture in shock with history of previous caesarean section. Ultrasound report revealed massive hemoperitoneum (2 litres) with dead fetus lying outside the uterine cavity. Emergency laparotomy was performed and uterine repair was done. The differential diagnosis for hemoperitoneum is early pregnancy includes bleeding corpus luteum, heterotropic pregnancy or ectopic pregnancy and molar pregnancy with secondary invasion. The possibility of uterine rupture should also be kept in mind. Prompt diagnosis and early management is important to reduce the morbidity and mortality.

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