Posterior uterine rupture – a devil with many faces
Anjali Jain, Alok Tiwari, Anisha Kellogg
Uterine rupture in an unscarred uterus is a rare occurrence. A 25 years old, multigravida woman with an unscarred uterus who was induced with misoprostol at a primary health center and referred to our facility with provisional diagnosis of placental abruption with fetal distress. We diagnosed her to have posterior uterine wall rupture with dead fetus. Active management with emergency laparotomy and obstetric hysterectomy led to complete recovery of the mother with uneventful 3 month follow up. The report highlights the need for judicious induction, considering uterine rupture as differential diagnosis even in an unscarred uterus in case of non progress of labor, and urgent referral to higher centre for timely management.