A Case Report of Unusual Site of Uterine Rupture in Pregnancy with Scarred Uterus

Spontaneous uterine rupture of scarred uterus of unusual site is a rare complication in pregnancy. We are reporting an unusual case of a multigravida, with multiple (twin) pregnancy and previous caesarean section, who developed sudden, agonizing abdominal pain. At laparotomy incomplete rupture was found in the anterior wall of upper uterine segment with intact previous lower uterine segment caesarean section scar. It may have occurred due to over stretching of uterine muscle. There was no history of trauma or instrumental evacuation or surgery except previous lower uterine caesarean section in first pregnancy.