Association of anhydramnios and uterine rupture in a site of unscarred uterus: A case report

Abstract

Introduction: Uterine rupture is a rare, life-threatening emergency and usually present with significant abdominal pain, vaginal bleeding, and occur on uterine scars. Case Report: This is the case of a paucisymptomatic uterine rupture associated with anhydramnios. The lack of amniotic fluid was first thought to be caused by a premature membranes rupture hidden by cervical cerclage placed during the second trimester. The misrecognized anhydramnios, the paucity of symptoms, and the absence of vaginal bleeding delayed the diagnosis of uterine rupture, only confirmed by magnetic resonance imaging (MRI) scans showing the fetal arm through the uterine wall. Of interests, the uterine wall was ruptured on a weak site between two myomas and not at the level of the scar of a previous cesarean section. Conclusion: This report highlights the association between anhydramnios and uterine rupture and suggests considering uterine ruptures even in the presence of mild abdominal pain and no vaginal bleeding.