Spontaneous Rupture of an Unscarred Gravid Uterus in a Primi
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Introduction
Uterine rupture is an obstetric complication that causes significant maternal and fetal morbidity and mortality. It is associated with prolonged labor, oxytocin induction, and uterine scarring, especially following prior cesarean section. Several reports have indicated that antepartum uterine rupture can occur in an unscarred uterus, but the contributory risk factors have not been identified.

Here we report a case of spontaneous rupture of an unscarred gravid uterus with favorable fetal outcome at 32 weeks of gestation.

Case Presentation
A healthy 29-year-old primigravid woman conceived naturally and began receiving prenatal checkups at a private hospital. At week 31, fetal bilateral hydronephrosis was observed, and the subject was referred to Kumamoto University Hospital at 31 weeks + 6 days of gestation for diagnostic studies and proper management. She had no history of trauma, uterine surgery, or intrauterine intervention, or symptoms suggesting the presence of Ehlers-Danlos syndrome in either herself or her family members....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100263/
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