Uterine Rupture: A Tertiary Care Dilemma - The Case Series

Abstract

This case series presents the successful management of three complex uterine rupture cases with high morbidity at a tertiary care center, emphasizing the challenges and outcomes. Patients who consented were analyzed for clinical presentation, intraoperative findings, and postoperative outcomes. Case 1 involved a 32-year-old woman (G11, P7+3) with spontaneous uterine rupture at 35 weeks gestation, extending to a broad ligament hematoma, necessitating total abdominal hysterectomy, internal iliac ligation, broad ligament exploration. Case 2 described a 35-year-old woman (P3+1) with a history of three cesarean sections, who experienced uterine rupture following dilation and curettage for a cesarean scar ectopic pregnancy, requiring cesarean hysterectomy and bladder repair. Case 3 involved a 28-year-old woman (G5, P4) with uterine rupture and hand prolapse, successfully managed with uterine repair and conservation. These cases underscore the critical importance of prompt recognition, timely surgical intervention, and a multidisciplinary approach in managing uterine rupture. Individualized strategies tailored to patient conditions are essential for optimizing outcomes, particularly in high-risk obstetric patients.