SPONTANEOUS UTERINE RUPTURE IN UTERINE DIDELPHYS: A CASE REPORT WITH LITERATURE REVIEW
Abstract
Uterine rupture (UR) rarely occurs in the second trimester, particularly in an unscarred uterus didelphys (UD), a rare Müllerian anomaly. A 28-year-old primigravida at 21 weeks of gestation presented with 3 hours of lower abdominal pain and nausea. Ultrasonography (US) showed free intraperitoneal fluid and a right adnexal hematoma. Emergency laparotomy revealed severe hemoperitoneum and fundal rupture of the right uterine horn in UD. The rupture was repaired; the mother survived, but the fetus died. A review of seven cases showed a mean age of 24.6 years, with 85.71% occurring in unscarred uteri and 85.71% during the second trimester. Abdominal pain was reported in all cases, and all mothers survived while all fetuses died. Spontaneous UR should be considered in unscarred UD, and prompt laparotomy may allow successful uterine repair.
Ethics Approval
No ethical committee approval was required for this case report by the Department, because this article does not contain any studies with human participants or animals. Informed consent was obtained from the patient included in this study.
Data Availability Statement
The data generated by this study are fully included in the figures and/or tables of this article.
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Copyright (c) 2026 Nahida H. Ahmed, Shano A. Muhammed, Huda M. Muhammad, Zhiyan M. Mohammed, Darya J. Hassan, Snur Othman, Aland T. Ahmed, Rahand A. Yousif, Farida K. Hamasalih, Berun A. Abdalla
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