https://orcid.org/0009-0009-6551-9157
Abstract
Background
Posterior uterine wall rupture is extremely uncommon in the absence of any of the commonly recognized risk factors. Even though uterine rupture is more likely in multiparous people, it cannot be believed that the uterus of a primigravid is impervious to rupture. The objective of this case report is to alert obstetricians about atypical posterior uterine wall rupture presentation in the absence of identifiable risk factors and to emphasize the worth of prompt action.
Case Presentation
A 22-year-old primigravid mother with a 12 cm vertical posterior uterine wall rupture of an unscarred uterus at St. Paul's Hospital in Ethiopia was reported to have survived an intrapartum uterine rupture during the latent early stage of labor while taking a low dose of oxytocin. The baby was saved from the abdominal cavity after an emergency laparotomy was performed. Complete hemostasis was achieved when the posterior uterine wall rupture was repaired in two layers. The patient and her baby were discharged on the fifth postoperative day smoothly.
Conclusion
Posterior uterine wall rupture in a primigravid mother with an unscarred uterus is extremely rare, but a high index of suspicion should be kept in mind as expedited intervention is the only way to save the mother and fetus.
Availability of Supporting Data and Materials
All supporting documents have been submitted along with the case report.
Ethics Approval and Consent to Participate
As per our institutional standards, this case report requires patient consent to participate, which has been filed in the patient chart for our records. Research ethics committee approval was not required.
Consent for Publication
Written informed consent was obtained from the patient for publishing this report and the associated photographs. The chief editor of this Journal has access to a copy of the written consent for evaluation.
Acknowledgments
The authors would like to thank the staffs of St. Paul’s Hospital, who have been involved in the management of the mother and the neonate.
Author Contributions
All authors made substantial contributions to the conception and design, acquisition of data, or analysis and interpretation of data; took part in either drafting the article or revising it critically for important intellectual content; gave final approval of the version to be published; and agree to be accountable for all aspects of the work.
Disclosure
The authors declare that they have no competing interests.