Rupture of an Unscarred Uterus: An Atypical Presentation

Uterine rupture is a rare but life threatening emergency and its immediate diagnosis and treatment is of prime importance as it could lead to mortality of both mother and the baby especially in developing countries where birth is attended by untrained professionals. Rupture uterus can present atypically and this might pose a challenge in making of diagnosis, as in our case where a young primipara with no previous surgical scar, presented with abdominal pain post normal vaginal delivery and it took 6 hours to diagnose the case as our patient had no risk factors. She was operated and a rent of 7x8 cm was found on anterior uterine segment which was repaired. Thus in absence of typical signs a postpartum patient with abdominal pain should always be evaluated very carefully.