Spontaneous Uterine Rupture in a Pregnancy of 12 Weeks’ Amenorrhea: A Case Report at the Medical Center with Surgical Antenna of Dô in Bobo-Dioulasso, Burkina Faso

Introduction: Spontaneous uterine rupture in early pregnancy is exceptional. The incidence in the 1st and 2nd trimester of pregnancy is low. Diagnosis is difficult in the presence of non-specific symptoms. Case report: The authors describe a 29-year-old woman with three prior cesarean scars who presented at 12 weeks’ gestation with abdominal pain and hemoperitoneum. Ultrasound suggested a heterotopic pregnancy, but laparotomy revealed a 4-cm anterior corporal uterine rupture with protruding gestational sac; subtotal hysterectomy was required. The case highlights the diagnostic challenge of first-trimester rupture and underscores the importance of rapid surgical management in scarred uteri. Conclusion: Spontaneous uterine rupture in the first trimester is a rare situation. Practitioners must consider it for better patient management.