Spontaneous rupture of an unscarred gravid uterus at 32 weeks gestation

J.Langton, K.Fishwick, B.Kumar and E.C.Nwosu1 both lungs. The abdomen was soft, but slight tenderness and guarding was elicited in the right iliac fossa. The uterus was Obstetrics and Gynaecology Unit, Whiston Hospital, Warrington soft and consistent with gestation, with no uterine activity Road, St Helens, Merseyside L35 5DR, UK detected. The fetus presented as cephalic and the heart rate 1To whom correspondence should be addressed was normal. An i.v. line was established and blood obtained for grouping and cross matching. A case of spontaneous rupture is reported which occurred in a non-labouring uterus with no apparent previous factors Ultrasound showed a viable fetus with normal biometry at 32 weeks gestation. consistent with gestation. The placenta was fundally sited with