Indian Journal of Forensic Medicine & Toxicology
  • Year: 2015
  • Volume: 9
  • Issue: 1

Spontaneous Rupture of 17 Weeks Uterus: a Rare Case

1Associate Professor, Obs/Gynac, Kamineni Institute of Medical Sciences, Narketpally, District Nalgonda, State Andhra Pradesh

2Associate Professor, Forensic Medicine, Kamineni Institute of Medical Sciences, Narketpally, District Nalgonda, State Andhra Pradesh

3Assistant Professor, Anesthesiology, Kamineni Institute of Medical Sciences, Narketpally, District Nalgonda, State Andhra Pradesh

*Corresponding author: Nishat Ahmed Sheikh, Associate Professor, Dept. of Forensic Medicine, Kamineni Institute of Medical Sciences, Narketpally, District Nalgonda, State Andhra Pradesh. Email ID: drnishatsheikh@gmail.com, Contact No: + 91 009390058109

Online published on 5 January, 2015.

Abstract

Uterus is the most unique reproductive organ in humans. Rupture uterus is a hazardous complication of pregnancy, spontaneous rupture of uterus is rare. Uterine rupture can occur in pregnancy or at the time of delivery. The reported incidence of spontaneous uterine rupture is about 1 in 15,000 deliveries and it is more likely in women of high parity. Here we came across one case of 27 year old G3P2 with three and half months amenorrhea, referred to our hospital with the diagnosis of rupture uterus, she had a history of previous cesarean section, Vaginal examination showed a bleeding through cervical os. Ultra sound examination showed 17 weeks fetus with absent cardiac activity seen separate from the uterus with minimal free fluid in the abdomen suggesting ? Rupture uterus. Easy accessibility of abortion services, curb on unauthorized medical practice can reduce the complication rate, in developing countries like India timely hospitalization of pregnant women shall decrease the incidence of rupture of gravid uterus.

Keywords

Criminal Abortion, Rupture Uterus, Attempted Abortion, Pregnancy, Caesarean Sections