Spontaneous rupture of a nongravid uterus: a case report

Spontaneous rupture of a nongravid uterus: a case report

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Rupture of a gravid uterus is a known complication of a cesarean hysterotomy.Uterine rupture of a nongravid uterus is usually caused by trauma, instrumentation, a pelvic mass, infection, or malignancy.Spontaneous rupture of a nongravid uterus is a rare event with only 4 cases reported in the English literature since 2011.This was the case of a healthy 52-year-old woman with a remote history of 2 cesarean deliveries and an endometrial ablation.

The patient presented with majicontrast red severe right lower-quadrant pain.The hospital evaluation revealed a hemoperitoneum, a 5 cm endometrial complex or mass, and layering of blood product along the cesarean delivery scar.Exploration confirmed a spontaneous rupture of the previous hysterotomy.The patient was treated successfully with a total abdominal hysterectomy.

Pathology report confirmed the uterine wall defect.Uterine rupture in the non-gravid uterus is a rare event.Presentation may be atypical but consistent with the diagnosis.Spontaneous uterine rupture should click here be considered in the nongravid patient with abdominal pain and a hemoperitoneum of unclear origin.