Second trimester spontaneous rupture Uterus
measuring 6 x 4 cm, exposing the amniotic membrane with alive feotus (300 gm) and placenta. In addition multiple 1 cm defects seen in the posterior wall of the uterus. Cesarean section scar was intact.
The uterus was sutured in three layers, as the patient was not consented for hysterectomy. Four units of blood transfused in theatre. Postoperatively, patient debriefed, advised against further pregnancies in view of risk of recurrent rupture and was scheduled for tubal sterilization.