Abstract
Uterine rupture is a life-threatening obstetric emergency defined by the complete disruption of all uterine layers during pregnancy or labor. Its incidence ranges from 1/5,700 to 1/20,000 pregnancies and is associated with significant maternal and fetal morbidity and mortality. Although it is more commonly linked to previous uterine scarring, spontaneous rupture in an unscarred uterus remains exceptionally rare. In cases of postpartum hemorrhage with adequate uterine tone and poor response to first-line management, exploratory laparotomy plays a crucial role in establishing the diagnosis. This report highlights a rare presentation of uterine rupture in an unscarred uterus complicated by hemorrhagic shock and cardiac arrest, emphasizing the importance of early recognition and prompt surgical intervention.
Paúl Alberto Sandoval-Quiñonez, Francisco Javier Castro-Apodaca, Oscar Osuna-Álvarez, Alán Hamid Gámez-Meza, Emma Angelica Urrea Castro, Humberto Obeso Espinoza, Miguel Ángel Martínez-Rodríguez, Adilene Astorga Rendon, José Pavel Zatarain Mendivil, Luis Alfredo Garay Vizcarra, Joel Murillo-Llanes
