Authors : George Alcard Rweyemamu; Abdallah M. Mmbaga; Soter L. Vitalis; Lukombodzo E. Lulandala

Volume/Issue : Volume 10 - 2025, Issue 11 - November

Google Scholar : https://tinyurl.com/3fcyxe8v

Scribd : https://tinyurl.com/3wdwpyt3

DOI : https://doi.org/10.38124/ijisrt/25nov689

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Abstract : A 30 years-old woman gravida 4, para 3, living 3 who had two previous cesarean section scars presented with acute onset lower abdominal pain and per vaginal bleeding at 28 weeks of gestation. She was diagnosed with a ruptured uterus with fetal demise. She was resuscitated aggressively with intravenous fluids before she went for emergency laparotomy. Intraoperative findings: a uterine rupture along the previous uterine scars with haematoma formed to the broad ligament and lateral sides of the uterus. The estimated intra-peritoneal hemorrhage of about 800mls; with protruding fetal head to the peritoneum. A male baby, fresh still birth, weighted 1.6kg was extracted with the extensive uterine rupture. Then Supracervical hysterectomy was done to control the hemorrhage. She was discharged 5 days later with stable vital signs and followed up for two weeks and found to be recovered and discharged from the clinic.

Keywords : Silent Pre Labour Rupture of Scared Uterus, Gestation Age of Twenty-Eight Weeks, Supracervical Hysterectomy.

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