Title: Uterine rupture in an unscarred uterus detected in the course of postpartum hemorrhage: a case report and review of the literature
Authors: T.MAZALI, W. AARBAOUI, C. KHALLOUFI, F. El HILALI, H. MOUSTAIDE, S. BENKIRANE
Volume: 10
Issue: 5
Pages: 80-82
Publication Date: 2026/05/28
Abstract:
Uterine rupture represents a significant and infrequent complication in obstetrics, posing a potential risk to the well-being of both the mother and the fetus when not promptly identified and addressed. The occurrence of spontaneous uterine ruptures is more prevalent in individuals with a history of uterine scarring, whereas instances in unscarred uteri are considerably rarer. In this report, we present an uncommon occurrence involving the spontaneous uterine rupture of an unscarred uterus in a 25-year-old patient, gravida 3 para 3, without a prior history of uterine surgery. The diagnosis was established following postpartum hemorrhage accompanied by severe hypovolemic shock, necessitating management at our maternity facility. Notably, a palpable defect was identified during vaginal examination after the patient's vaginal delivery. Laparotomy confirmed the diagnosis, and despite initial attempts at conservative treatment, a hemostasis hysterectomy became necessary. The postoperative course was uneventful. The etiopathogenesis, clinical features, and therapeutic considerations of spontaneous unscarred uterine ruptures are explored in the context of a comprehensive literature review.