Spontaneous Uterus Rupture Due To The Classical Caesarean In The Previous Pregnancy

Abstract

Every hospital, department and physician has an algorithm in the management of the patients. However the patients dispatched from another hospital with s diagnosis misdirect the physicians attending in the emergency department (ED). A 35 years old woman dispatched to our hospital with diagnosis of pulmonary embolus. The patient had not felt the movements of fetus and had got a chest pain started 24 hours before she came to the ED. We noticed that the fetal cardiac activity was absent. Furthermore there was free fluid in the abdomen and the uterus was contracted. After all, the patient was undergone an operation with a diagnosis of uterus rupture. In conclusion, every patient should be evaluated without focusing at one point. History, physical examination and systematic approach should not be ignored. Meanwhile, the uterus the pregnancy after a caesarean threats the life of the mother and also fetus.