Evidence map›Paper›PMID 40452861›Full record

ArticleCase reports in women's health2025

Spontaneous second-trimester uterine rupture in an unscarred uterus: A case report and review of literature.

Everett Lwamulungi, Corrine Arara, Jeevan Marasinghe, Jacqueline Van Dam

Abstract readCase Reports
In one paragraph

Article in Case reports in women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Everett LwamulungiDepartment of Obstetrics and Gynecology, Werribee Mercy Hospital, 300 Princes Highway, Werribee, Victoria 3030, Australia.
Corrine AraraDepartment of Obstetrics and Gynecology, Werribee Mercy Hospital, 300 Princes Highway, Werribee, Victoria 3030, Australia.
Jeevan MarasingheDepartment of Obstetrics and Gynecology, Werribee Mercy Hospital, 300 Princes Highway, Werribee, Victoria 3030, Australia.
Jacqueline Van DamDepartment of Obstetrics and Gynecology, Werribee Mercy Hospital, 300 Princes Highway, Werribee, Victoria 3030, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous uterine rupture in the second trimester is an extremely rare but critical obstetric emergency, associated with significant maternal and foetal morbidity and mortality. A 41-year-old multiparous woman presented at 16 weeks of gestation with acute lower abdominal pain and vaginal bleeding. Initial evaluation revealed severe anaemia and haemodynamic instability. Imaging demonstrated massive hemoperitoneum and a possible placental abruption, necessitating emergency surgical intervention. Emergency laparotomy revealed a uterine fundal rupture with active bleeding and a bulging amniotic sac. The foetus was evacuated via a midline vertical uterine incision. A two-layer repair of the uterine defect was performed and the patient was admitted to intensive care for postoperative monitoring. She recovered well and was discharged free of complications. This case emphasizes the importance of early recognition and timely surgical intervention in the management of spontaneous second-trimester uterine rupture to prevent severe adverse outcomes.

Indexed as

Hemodynamic instabilitySecond trimesterSpontaneousUnscarred uterusUterine rupture

Identifiers

PMID40452861
PMCPMC12124649

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.