Objective: Spontaneous unscarred uterine rupture (SUUR) is a catastrophic obstetric complication. We presented a case of the woman at 34 weeks of gestation without apparent causes of SUUR.
Presentation : A 28-year-old primigravid woman in her third trimester came to the hospital because of abdominal pain. She had a history of endoscopic surgery for adhesiolysis of bilateral fallopian tubes and untreated thyroid disease. Out of the typical vital signs, preeclampsia was diagnosed. After considering the results of ultrasound images with massive free fluid in the abdomen, the emergency exploratory laparotomy was conducted. We delivered an alive baby and repaired the uterine rupture site. The patient was discharged on the 5 postoperative day in a stable condition.
Conclusion : The endoscopic surgery for adhesion separation of the fallopian tube could be a risk factor for SUUR. Timely diagnosis and management plays a crucial role in the prognosis of women suspected of SUUR.
Uterine rupture, Primigravid, Unscarred uterus.