Spontaneous Rupture of Unscarred Uterus in a Term Primagravida with Lethal Skeletal Dysplasia Fetus (Thanatophoric dysplasia). A Case Report and Review of the Literature

Background and Importance: Spontaneous uterine rupture, especially in an unscarred uterus, is a rare pregnancy complication that can cause severe morbidity and mortality in both the mother and the fetus. The vast majority of uterine ruptures occur in the presence of a previous uterine scar, most com...

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Published inInternational medical case reports journal Vol. 15; pp. 551 - 556
Main Authors Hussein, Ahmed Issak, Omar, Abdikarim Ali, Hassan, Hodan Abdi, Kassim, Mohamed Mukhtar, Yusuf, Abdisalam Abdullahi, Osman, Ahmed Adam
Format Journal Article
LanguageEnglish
Published Macclesfield Dove Medical Press Limited 31.10.2022
Taylor & Francis Ltd
Dove
Dove Medical Press
Subjects
Abdomen
antenatal care
Case Report
Case reports
Cervix
Cesarean section
Dysplasia
Emergency medical care
Fetuses
Health aspects
Hemoglobin
Hospitals
Mortality
Obstetrics
Pregnancy
Prenatal care
primagravida
Somalia
thanatophoric dysplasia
Ultrasonic imaging
uterine rupture
Uterus
Vagina
Somalia
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Summary:Background and Importance: Spontaneous uterine rupture, especially in an unscarred uterus, is a rare pregnancy complication that can cause severe morbidity and mortality in both the mother and the fetus. The vast majority of uterine ruptures occur in the presence of a previous uterine scar, most commonly from a previous cesarean delivery. To our knowledge, here we reported the first case of spontaneous rupture of unscarred uterus in a term primigravida secondary to lethal skeletal dysplasia fetus (Type 1 Thanatophoric dysplasia) faced by a practicing clinician in an underdeveloped country (Somalia) with a successful outcome. Case Presentation: The patient was 24 yrs. Old Primagravida, at 40 weeks gestation by LMP, presented with abdominal pain and active vaginal bleeding; she did not receive antenatal care during pregnancy; after initial abdominal ultrasonography and vaginal examination, laparotomy was performed due to high suspicion of uterine rupture. After dead fresh fetal extraction, the uterine defect was repaired successfully, and the patient was discharged home in good condition after several days. Conclusion: Through this case, we would like to highlight the urgent need to focus on and recognize the importance of receiving antenatal care in the community so that the burden of thousands of lives lost each year can be reduced. Keywords: uterine rupture, Thanatophoric dysplasia, Primagravida, antenatal care, case report
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S383195