A rare case report: unscarred uterus rupture in pregnancy with intra-abdominal missing foetal limb

Deepali H. Janugade; Hemant B. Janugade; Kruthika R. Sajjan; Basavaraj K. Nagur

doi:10.18203/2320-1770.ijrcog20160613

Authors

Deepali H. Janugade Department of OBGY, Krishna institute of medical science university, Karad-415110, Satara, Maharashtra, India
Hemant B. Janugade Department of Surgery, Krishna institute of medical science university, Karad-415110, Satara, Maharashtra, India
Kruthika R. Sajjan Department of OBGY, Krishna institute of medical science university, Karad-415110, Satara, Maharashtra, India
Basavaraj K. Nagur Department of Surgery, Krishna institute of medical science university, Karad-415110, Satara, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20160613

Keywords:

Ruptured uterus, Fetal death, Missing fetal limb, Preterm labour

Abstract

Ruptured uterus is an obstetric and surgical emergency that can lead to maternal or fetal death. Spontaneous rupture of an unscarred uterus during pregnancy is a rare occurrence. The incidence of ruptured uterus is 0.3 to 1.7% in women with scarred uterus, and 0.03 to 0.08% among women with unscarred uterus. We report a rare case of spontaneous uterine rupture at 30 weeks of gestation with missing fetal limb. Later on, after doing emergency laparotomy the missing limb was found in the abdominal cavity of the patient who had an unscarred uterus. Uterine rupture occurring in an unscarred uterus is sometimes an unpredictable event. Abdominal pain occurring on a pregnant woman should be seriously managed. Ultrasound scan and external electronic fetal monitoring should be carried out rapidly so as to diagnose the uterine rupture at the earliest.

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