Lutfi, M.D., Tengku Puspa Dewi


Introduction.Silent spontaneous rupture of the uterus at the second trimester of gestation was very rare. In this case was accompaniedby extrusion of an intact amniotic sac and normal fetal heart rate base line. Silent uterine rupture can be very difficult to diagnose, as the clinical features of uterine rupture, including abdominal pain, vaginal bleeding, maternal hypovolemic shock or hemorrhage, may be absent.Very few cases have been reported in literature.

CasePresentation.Wereport a case of silent spontaneous uterine ruptureat 27-28 Weeks of Gestation.Patient had history of two prior cesarean sections with the last C-sections has uterine rupture. The residents were misdiagnosis silent spontaneous rupture with condition of dyspepsia. She underwent cesarean subtotal hysterectomy and deliveredalive infant. She had a good postoperative recovery and was discharged on postoperative day 3.

Conclusion.Silent spontaneous rupture of the uterus at second trimester of gestation with extrusion of an intact amniotic sac is rare.For this case even there were no sign of acute abdomen and shock but only sign of dyspepsia. We have to think about the risk of Rupture uterine imminens. A high index of suspicion and good imagingduring pregnancy are important in making this diagnosis.


Keywords: uterine rupture, dyspepsia, cesareanhysterectomy


uterine rupture, dyspepsia, cesareanhysterectomy



Gardeil F, Daly S, Turner MJ. Uterine rupture in pregnancy reviewed. Eur J Obstet Gynecol Reprod Biol 2014; 56: 107-10.

Walsh CA, Baxi LV. Rupture of the primigravid uterus: a review of the literature. Obstet Gynecol Surv 2011; 62: 327-34; quiz 53-4.

Esmans A, Gerris J, Corthout E, Verdonk P, Declercq S. Placenta percreta causing rupture of an unscarred uterus at the end of the first trimester of pregnancy: case report. Hum Reprod 2014; 19: 2401-3.

Kieser KE, Baskett TF. A 10-year population-based study of uterine rupture. Obstet Gynecol 2012; 100: 749-53.

Damiani GR, Gaetani M, Landi S, Lacerenza L, Barnaba M, Spellecchia D, et al. Uterine rupture in a nulliparous woman with septate uterus of the second trimester pregnancy and review in literature. Int J Surg Case Rep 2013; 4: 259-61.

Imseis HM, Murtha AP, Alexander KA, Barnett BD. Spontaneous rupture of a primigravid uterus secondary to placenta percreta. A case report. J Reprod Med 2008; 43: 233-6.

Dow M, Wax JR, Pinette MG, Blackstone J, Cartin A. Third-trimester uterine rupture without previous cesarean: a case series and review of the literature. Am J Perinatol 2011; 26: 739-44.

Cheng PJ, Chueh HY, SoongYK. Sonographic diagnosis of a uterine defect in a pregnancy at 6 weeks' gestation with a history of curettage. Ultrasound Obstet Gynecol 2013; 21: 501-3

E. Bujold, N. Jastrow, J. Simoneau, S. Brunet, and R. J. Gauthier, “Prediction of complete uterine rupture by sonographic evaluation of the lower uterine segment,” American Journal of Obstetrics and Gynecology, vol. 201, no. 3, pp. 320.e1–320.e6, 2011

W. A. Grobman, Y. Lai, M. B. Landon et al., Prediction of uterine rupture associated with attempted vaginal birth after Cesarean delivery,The American Journal of Obstetrics and Gynecology, vol. 199, no. 1, pp. 30.e1–30.e5, 2008.

DOI: https://doi.org/10.24815/jks.v18i1.11213


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