Title: Spontaneous Uterine Rupture in the First Trimester in a Primigravida after Myomectomy: A Case Report and Review of the Literature
Authors: T.MAZALI, W. AARBAOUI, H. MOUSTAIDE, S. BENKIRANE
Volume: 10
Issue: 2
Pages: 32-35
Publication Date: 2026/02/28
Abstract:
Uterine rupture is a serious and uncommon obstetric complication that can lead to a severe maternal and fetal prognosis if not immediately diagnosed and managed. Most spontaneous uterine ruptures occur in women with a scarred uterus and usually arise during labor or at the end of pregnancy. Uterine ruptures occurring in the first and second trimesters remain exceptional, and their clinical presentation is variable. We report a case of spontaneous uterine rupture at 11 weeks of gestation in a 43-year-old primigravida with a history of myomectomy performed by laparotomy. The clinical presentation was marked by signs of peritoneal irritation. Surgical exploration revealed a complete rupture of the uterine fundus with an intraperitoneal gestational sac containing the embryo. Conservative management was adopted, with a favorable postoperative outcome.