Qom University of Medical Sciences Journal

Background and Objectives:Rupture of uterus is a life-threatening complication with high fetal and maternal morbidity and mortality. Hysteroscopy, traumatic abortion, inappropriate use of oxytocin, manipulations, hydramnios, multifetal pregnancy, etc. are causes of rupture of uterus.

Case Report:A31-year-oldwoman G4P2A1L2, with 12-week pregnancy and with history of two cesarean deliveries and one traumatic abortion two months before the current pregnancy, presented to hospital with abdominal pain and bleeding. In clinical examination, whole abdomen had tenderness and patient complained of difficulty in breathing, nausea, and vomiting. In vaginal examination, the cervix was closed and the patient’s bleeding was a little more than spotting. Vital sign decreased and the patient's dyspnea deteriorated.Hemoglobinlevel decreased from 13 to 4/5mg/dl. During vaginal sonography, the sonologistreported that there was no possibility of evaluation due to the fullness of abdominal cavity with fluid and blood, and there was a probability of ruptured ectopic pregnancy along with intrauterine pregnancy.The patient was transferred to operating room after the sonography. In the operating room, the fetus with gestational sac was seen in abdomen after laparotomy. The diagnosis of the rupture of uterus was from the previous site of incision, which was repaired by gynecologist.