A rare Case Study of Uterine Rupture in a Primigravida following a previous Hysteroscopic septum resection

Abstract Background: Uterine rupture is a rare but life-threatening obstetric complication, particularly uncommon in gravid women without prior caesarean delivery or uterine surgery. However, hysteroscopic septum resection, although minimally invasive, has been associated with uterine wall weakness and subsequent rupture in pregnancy. Case Presentation: We report a rare case of spontaneous uterine rupture in a 28-year-old primigravida at 30 weeks of gestation with a history of hysteroscopic septum resection. The patient presented with acute abdominal pain, hypotension, and signs of hemoperitoneum. Emergency laparotomy revealed a large 8-10 cm rent over the posterior surface of the fundus of the uterus near the site of prior resection. A stillborn female fetus weighing 1.5 kg was delivered through the rupture site. The uterus was successfully repaired, and the patient had an uneventful postoperative recovery. Conclusion: This case underscores the need for heightened clinical vigilance in pregnancies following hysteroscopic uterine surgery, even in the absence of traditional risk factors. Early diagnosis and prompt surgical intervention are vital to optimizing maternal outcomes.