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  • Title: Rupture of the uterus in a primigravida: a case report.
    Author: Chigbu B, Onwere S, Kamanu C, Aluka C, Adibe E, Onichakwe C.
    Journal: Niger J Clin Pract; 2010 Jun; 13(2):233-4. PubMed ID: 20499765.
    Abstract:
    Uterine rupture during a first pregnancy is rare. We present the case of spontaneous intrapartum uterine rupture in a 40 year old primigravida with no prior uterine surgery, and a structurally normal uterus. The patient had obstructed labor. Operative findings were a male fresh stillbirth weighing 3800 g, massive hemoperitoneum, and an anterior transverse rupture at the lower uterine segment. Repair of the rupture was done without bilateral tubal ligation. Although a rare event, the primigravid uterus is not immune to rupture as exemplified by this report.
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