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Progress in Medical Sciences ISSN: 2577 - 2996
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Progress in Medical Sciences. 2022; 6(5):(84-109)
doi: doi.org/10.47363/PMS/2022(6)178


Post Traumatic Uterine Rupture

Othman ELHARMOUCHI*, Hajar KANDOUSSI, Youssef ESSEBBAGH, Khadija ERRMILI and Aziz BAYDADA

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Abstract
The rupture of gravid uterus is a rare complication concerning less than one percent of the pregnant women involved in a motor vehicle accident. The authors report the case of a 38-year woman, referred for a uterine rupture with intrauterine fetal death at 20 weeks’ gestation, following a car crash. The surgical laparotomy exploration in emergency showed a wide isthmic uterine tear with placental abruption. Abdominal lesion of the fetus was found. A conservative surgical treatment could be realized. Principles of management, which must be quick and coordinated, are reminded. 


Background: Uterine rupture is a very serious obstetrical complication with various etiologies: fetopelvic disproportion, dystocic presentations and misuse of oxytocics, but the rarest and most serious etiology is posttraumatic rupture which represents 1% of these etiologies. We report a case of uterine rupture by direct abdominal trauma during a road traffic accident (MVA). This is an obstetrical emergency with a vital maternal and fetal prognosis, requiring rapid intervention and multidisciplinary management.