An unusual case of placenta abruption complicated with ruptured uterus: case report

Presentation of abruption of placenta and ruptured uterus is extremely rare, there were only a few cases described in the past. A 40 year-old woman, gravida 7 para 6 presented with features of placenta abruption with fetal demise, where she was allowed to labour while anticipating vaginal delivery. Unfortunately during the course of labour she was suspected to have ruptured uterus, and laparotomy was performed. Findings were hemoperitoneum, Couvelaire uterus with bilateral uterine rupture involving uterine vessels. A dead fetus was delivered followed by supracervical hysterectomy. She recovered without major complications. Careful monitoring of this patient was the only thing which allowed us to discover this unusual presentation.