A Rare and Unique Case Report of Lateral Uterine Wall Rupture and Its Review

Cureus. 2023 May 8;15(5):e38695. doi: 10.7759/cureus.38695. eCollection 2023 May.


Rupture of the uterus is a deadly obstetric complication. Its occurrence is uncommon and much less common in the second trimester. Given that the mother and fetus are in danger, it is a catastrophe for both. The incidence has increased in recent years as the cesarean section rate has increased, but in developing nations, multiparity and the inappropriate use of uterotonics are more common. This potentially disastrous event may have a vague initial presentation. Here forth, we present a case with solitary right lateral wall uterine rupture covering the entire length of the uterus, the fetus and placenta enclosed in between the broad ligament leaves, most likely due to injudicious misoprostol use at a private health care center superimposed on multiparity, and a literature review. As far as we know, this is the first instance of an isolated right lateral uterine wall rupture sparing the lower segment and, with the fetus trapped between the broad ligaments simulating abdominal pregnancy.

Keywords: misoprostol; pregnancy; scarred uterus; unscarred uterus; uterine rupture.

Publication types

  • Case Reports