Spontaneous Spontaneous Uterine Rupture in a Woman with Previous Cornual Wedge Resection

A case report

Abstract

Uterine rupture is a potentially life-threatening fetomaternal condition. Although rare in the developed world, it remains a major cause of fetomaternal morbidity and mortality in the developing countries.

The presented patient was a G2P0+1 woman on Highly active anti-retroviral therapy (HAART) with previous corneal wedge resection for cornual ectopic gestation who presented with lower abdominal pain and hypovolemic shock. Obstetric ultrasound done at presentation revealed features of uterine rupture.  She had emergency exploratory laparotomy and repair of uterine rupture. Her post-operative period was uneventful and she was discharged on the 4th post-operative day.

The clinical presentation of this rare case has demonstrated the significance of having a high index of suspicion for uterine rupture especially in women who have had a scarred uterus. Therefore, women who undergo cornual wedge resection should be counseled on the risk of uterine rupture in subsequent pregnancies and that these subsequent pregnancies.