Abstract

SPONTANEOUS UTERINE RUPTURE IN A SEPTATE UTERUS: A CASE REPORT

Mariyam Benayada*, Sarah Talib, Aziz Slaoui, Amina Lakhdar, Najia Zeraidi, Brahim Ghrab, Aicha Kharbach and Aziz Baydada

ABSTRACT

Background: Uterine rupture in septate uterus during pregnancy is a rare but life-threatening event with high maternal and neonatal morbi-mortality. The current case highlights the association of pregnancy and septate uterus as a risk factor for uterine rupture. Case presentation: We hereby present the case of a 30-year-old woman, without prior uterine incision or manipulation, who presented at 33 weeks’ gestation with chief complaint of an acute abdominal pain and spontaneous per-vaginal bleeding. She was found to have a posterior uterine rupture in an undiagnosed septate uterus which resulted in severe maternal hypovolemic shock and fetal death. Conclusions: The occurrence of pregnancy in a septate uterus is responsible for significant obstetric complications, the most serious of which is uterine rupture. It should therefore be diagnosed early and if possible before the pregnancy for optimal obstetrical outcomes.

Keywords: Uterine rupture, Uterine septum, Pregnancy.