Post caesarean silent spontaneous uterine rupture in a case of placenta previa at 36 weeks of gestation: an unusual case scenario

Dr. Swati M. Sanap; Dr. Rahul V. Thorve

Volume : IX, Issue : V, May - 2020

Post caesarean silent spontaneous uterine rupture in a case of placenta previa at 36 weeks of gestation: an unusual case scenario

Dr. Swati M. Sanap, Dr. Rahul V. Thorve

Abstract :

Silent spontaneous uterine rupture before term, when the pregnant lady is not in labour, with delivery of a healthy baby, with no maternal or neonatal morbidity or mortality is very unusual scenario. Only a few cases have been reported in literature. We present a case of silent spontaneous uterine rupture, found incidentally during a scheduled repeat caesarean section for central placenta previa at 36 weeks of gestation. Patient had history of prior one lower segment caesarean section (LSCS). She underwent caesarean section (CS), with delivery of a healthy male baby. Placenta was morbidly adherent; total caesarean hysterectomy was performed. She had an uneventful postoperative recovery and was discharged on postoperative day 7. A high index of suspicion and good imaging during pregnancy are important in making this diagnosis. Uterine rupture can occur silently antenatally in post caesarean pregnancy with placenta previa. Anticipation and prompt management has favorable outcome.