Iqnaibi Mutasem, Sweity Lana, Hroub Yomna, Saya'ra Bayan, Al-Ihribat Alaa R
College of Medicine and Health Sciences, Palestine Polytechnic University, Wadi Al-Hariyah Street, Hebron, 00970, State of Palestine.
Princess Alia Governmental Hospital, Hebron, State of Palestine.
J Surg Case Rep. 2025 May 5;2025(5):rjaf291. doi: 10.1093/jscr/rjaf291. eCollection 2025 May.
Uterine rupture during pregnancy is a rare but life-threatening complication that poses severe risks to both mother and fetus. While it is typically associated with a history of uterine surgery, its silent presentation post-vaginal delivery remains exceptionally uncommon and diagnostically challenging. We present an extraordinary case of a 30-year-old multigravida at 33 + 2 weeks gestation, who developed a silent uterine rupture days after an uneventful vaginal delivery. The condition was masked by atypical symptoms, leading to delayed diagnosis, prolonged sepsis, and an intra-abdominal abscess. Despite the absence of classical warning signs, the rupture necessitated urgent surgical intervention, ultimately preserving maternal health and uterine integrity with loss of the fetus. This case underscores the critical need for heightened clinical suspicion and advanced imaging techniques in managing post-delivery complications, especially in patients with a scarred uterus.
妊娠期子宫破裂是一种罕见但危及生命的并发症，对母亲和胎儿都构成严重风险。虽然它通常与子宫手术史有关，但其在阴道分娩后无症状表现仍然极为罕见且诊断具有挑战性。我们报告一例特殊病例，一名30岁多产妇，妊娠33⁺²周，在顺利阴道分娩数天后发生无症状子宫破裂。病情被非典型症状掩盖，导致诊断延迟、败血症持续时间延长和腹腔内脓肿形成。尽管没有典型的警示信号，但破裂需要紧急手术干预，最终保住了母亲的健康和子宫完整性，但胎儿未能保住。该病例强调了在处理分娩后并发症时，尤其是对于有子宫瘢痕的患者，提高临床怀疑度和采用先进成像技术的迫切需求。
