• Yin Yin, Linlin Wang, Zhihong Shi, Yuxin Ma, and Juan Yina.
• Department of Ultrasound, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, Jinan, China.
• Medicine (Baltimore). 2024 Mar 15; 103 (11): e37445e37445.

RationaleUterine rupture is an obstetrical emergency associated with severe maternal and fetal mortality. It is rare in the unscarred uterus of a primipara.Patient ConcernsA 25-year-old woman in her 38th week of gestation presented with slight abdominal pain of sudden onset 10 hours before. An emergency cesarean section was done. After surgery, the patient and the infant survived.DiagnosesWith slight abdominal pain of clinical signs, ultrasound examination showed that the amniotic sac was found in the peritoneal cavity with a rupture of the uterine fundus.InterventionsUterine repair and right salpingectomy.OutcomesAfter surgery, the patient and the infant survived. The newborn weighed 2600 g and had an Apgar score of 10 points per minute. Forty-two days after delivery, the uterus recovered well.LessonsSpontaneous uterine rupture should be considered in patients even without acute pain, regardless of gestational age, and pregnancy with abdominal cystic mass should consider the possibility of uterine rupture.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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