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


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.


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

Full Text:



Walsh CA, Baxi LV. Rupture of the primigravid uterus: a review of the literature. Obstet Gynecol Surv. 2007;62:327-34.

Dow M, Wax JR, Pinette MG, Blackstone J, Cartin A. Third-trimester uterine rupture without previous cesarean: a case series and review of the literature. Am J Perinatol. 2009;26:739-44.

Carlin A, Alfirevic Z. Intrapartum fetal emergencies. Semin Fetal Neonatal Med. 2006;11:150-7.

Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY et al. Uterine rupture. In: Williams obstetrics. 23rd ed. New York: McGraw-Hill; 2010:573-6.