Title: Spontaneous Fundal Uterine Rupture in the Third Trimester of Pregnancy: A Rare Obstetric Emergency and Literature Review
Authors: A. OUARAB, A. SEBTI, N. DOUZI, M.I. BENDAHHOU, N. MAMOUNI, S.ERRARHAY, C. BOUCHIKHI, A.BANANI
Volume: 10
Issue: 6
Pages: 90-93
Publication Date: 2026/06/28
Abstract:
: Background Uterine rupture is a life-threatening obstetric complication associated with significant maternal and perinatal morbidity and mortality. It most commonly occurs in women with a previous cesarean scar and usually involves the lower uterine segment. Fundal uterine rupture is exceedingly rare, particularly in the absence of a uterine scar, and poses a major diagnostic challenge because of its atypical presentation. Case Presentation We report the case of a 33 year old gravida 2 para 1 woman at 35 weeks of gestation who presented with sudden-onset severe abdominal pain associated with signs of maternal hemodynamic instability and acute fetal distress. Emergency laparotomy revealed a complete fundal uterine rupture with hemoperitoneum. A live fetus was delivered by cesarean section. Surgical repair of the uterine defect was successfully performed. The postoperative course was favorable for the mother, while neonatal outcome depended on the duration of fetal compromise.ConclusionFundal uterine rupture is an uncommon but catastrophic obstetric emergency. Prompt recognition and immediate surgical intervention are essential to improve maternal and fetal outcomes. Obstetricians should maintain a high index of suspicion when confronted with acute abdominal pain during pregnancy, even in women without classical risk factors.