Ruptured uterus with bladder injury in a scarred uterus: a near miss

Ruby Bhatia; Saizal Jain; Anand Thawait; Vidushi Tiwari; Himanshi Pareek

doi:10.18203/2320-1770.ijrcog20262581

Authors

Ruby Bhatia Department of Obstetrics and Gynaecology, MMIMSR, Ambala, Haryana, India
Saizal Jain Department of Obstetrics and Gynaecology, MMIMSR, Ambala, Haryana, India
Anand Thawait Department of General Surgery, MMIMSR, Ambala, Haryana, India
Vidushi Tiwari Department of Obstetrics and Gynaecology, MMIMSR, Ambala, Haryana, India
Himanshi Pareek Department of Obstetrics and Gynaecology, MMIMSR, Ambala, Haryana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20262581

Keywords:

Uterine rupture, Caesarean section, Peripartum hysterectomy

Abstract

Uterine rupture in a previously scarred uterus is a life-threatening obstetric emergency associated with significant maternal and fetal morbidity and mortality. We report a case of a 27-year-old G5P2L1A2 at 36+5 weeks of gestation with two prior caesarean sections who presented with acute abdominal pain, vaginal bleeding, and decreased fetal movements. Clinical findings and USG suggested uterine rupture with intrauterine fetal demise. This case signifies the importance of early diagnosis and referral, prompt surgical intervention by multidisciplinary approach in a tertiary care centre.

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