Publication:

Atypical uterine rupture: case report and literature review

Uterine rupture, defined as a partial or complete disruption of the uterine wall, can occur spontaneously during pregnancy or labor-even without classic symptoms. This report presents an atypical case involving a 34-year-old woman with a history of laparoscopic myomectomy and large loop excision of the transformation zone, who conceived via in vitro fertilization. At 35 weeks, during an elective cesarean section for complications including intrauterine growth restriction and oligohydramnios, dehiscence of a previous uterine scar was incidentally discovered, with the fetal limb partially entrapped. Remarkably, the patient exhibited minimal pain and haemorrhagic signs, deviating from the typical presentation. This case highlights the complex interplay between surgical history, assisted reproductive techniques, and mechanical factors in predisposing patients to uterine rupture. It emphasizes the need for careful monitoring and individualized management strategies for high-risk pregnancies, and calls for further research to refine clinical guidelines.