Abstract

Fatima Zahra EL Harraz*, Brahim Maaloum, Douae Riali and Zaki EL Hanchi

ABSTRACT

Uterine rupture is a rare and serious obstetric complication with potentially life- threatening consequences for both the mother and the fetus, impacting the obstetrical outcome of the woman and the course of pregnancy in the absence of immediate detection and management. It is more commonly associated with a scarred uterus and exceedingly rare in cases of a healthy uterus. Diagnosis can be challenging, and treatment may be delayed, especially when symptoms are nonspecific. Therefore, maintaining a high level of suspicion is crucial. Once diagnosed, management typically involves prompt surgical intervention. We present a rare case of spontaneous uterine rupture in a 29-year-old patient with no significant medical history, diagnosed at 15 weeks of gestation due to extensive hemoperitoneum following trauma to the abdominal pelvic area. Through this case report and literature review, we highlight the importance of heightened vigilance even in the presence of a healthy uterus, as well as key clinical signs, risk factors, diagnostic methods, and therapeutic approaches to this rare but potentially serious complication.