Second trimester uterine rupture: an unusual presentation

Abstract

Uterine rupture is a rare but life-threatening obstetric emergency, particularly in the second trimester. It is often associated with previous uterine surgery, such as caesarean delivery or myomectomy. The condition presents a significant risk to both the mother and the fetus, often leading to fetal demise and severe maternal morbidity if not diagnosed and managed promptly. This case report discusses a 30-year-old female with a history of a previous lower segment caesarean section (LSCS) who presented with acute abdominal pain and hemodynamic instability. Ultrasound and intraoperative findings confirmed uterine rupture with fetal extrusion into the abdominal cavity. The case underscores the importance of early diagnosis, rapid surgical intervention, and meticulous antenatal monitoring in women with previous uterine surgery.