Welcome to the ePoster Viewing Panel of AICOG 2025

INTRODUCTION- Uterine rupture is a rare, preventable catastrophic condition in obstetrics. It is associated with high fetal and maternal morbidity and mortality. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. AIMS AND OBJECTIVES The diagnosis of uterine rupture is mainly based on clinical suspicion, history, physical examination and imaging. This case highlights the importance of early diagnosis, rapid intervention, and close monitoring of high-risk pregnancies. Although rare, uterine rupture in the second trimester poses significant risks to both maternal and fetal outcomes, underscoring the need for a multidisciplinary approach to management. MATERIAL AND METHOD We present a case of a 34-year-old woman, G2P1L0, at 19 weeks and 5 days of gestation, who presented with sudden onset abdominal pain and vomiting. She had history of previous open myomectomy and laparotomy for a ruptured uterus during a prior pregnancy. Upon admission, the patient was diagnosed with a rupture of the gravid uterus, a rare but potentially life-threatening complication, particularly in women with prior uterine surgery RESULT *Large 5x4cms defect in fundal Lt lat defect in uterine wall with amniotic sac with live foetus was found outside uterus *intraperitoneal blood collection of 2.5ltrs seen In view of large uterine defect and previous history of open Myomectomy and previous uterine rupture few months back, emergency laparotomy and hysterectomy was performed. CONCLUSION Ultrasound findings of intraperitoneal fluid collection with an intrauterine pregnancy do not exclude uterine rupture or ectopic pregnancy. Uterine rupture should be first ruled out in all pregnant women presented with acute abdominal pain regardless of their gestational age. Search for non-gynaecological causes in such clinical presentations can delay crucial obstetric surgical intervention that can lead to loss of obstetrics function, morbidity and mortality.