A Case of Uterine Scar Rupture in a 20 Weeks 4 Days Pregnancy

This is an unusual case of uterine rupture in 20weeks 4days pregnancy in previous two caesarean sections. Last child birth was 11 months back. . A 26 yrs old woman presented to opd in SBMCH with lactational amenorrhea and excessive bleeding pv and right side lower abdominal pain for 1 day. UPT was positive, dating scan not done. She came with history of MTP done a day before at private hospital (Total 800mcg of misoprostol). Ultrasound was done- 20weeks 4days gestation was present with no cardiac activity-abdominal. Laprotomy was done and T shaped uterine rupture was seen with sac protruding out of it. Fetus was removed and uterine repair was done along with sterlisation.