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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 596826, 3 pages
http://dx.doi.org/10.1155/2015/596826
Case Report

Silent Spontaneous Uterine Rupture at 36 Weeks of Gestation

1Department of Obstetrics and Gynecology, Michigan State University/Sparrow Hospital, Lansing, MI 48912, USA
2Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Michigan State University/Sparrow Hospital, Lansing, MI 48912, USA

Received 27 May 2015; Revised 10 August 2015; Accepted 11 August 2015

Academic Editor: Giampiero Capobianco

Copyright © 2015 J. Y. Woo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Silent spontaneous rupture of the uterus before term, with extrusion of an intact amniotic sac and delivery of a healthy neonate, with no maternal or neonatal morbidity or mortality is very rare. Very few cases have been reported in literature. Case Presentation. We report a case of silent spontaneous uterine rupture, found during a scheduled repeat cesarean section at 36 weeks of gestation. Patient had history of two prior classical cesarean sections. She underwent cesarean section, with delivery of a healthy male infant. She had a good postoperative recovery and was discharged on postoperative day 3. Conclusion. Silent spontaneous rupture of the uterus before term with extrusion of an intact amniotic sac is rare. A high index of suspicion and good imaging during pregnancy are important in making this diagnosis.