UTERINE RUPTURE IN A HEALTHY UTERUS ASSOCIATED WITH A RETROPLACENTAL HEMATOMA, REPORT OF A CASE AND REVIEW OF THE LITERATURE

Uterine rupture is a complication of childbirth, its relatively rare but its actual frequency is relative to degree of development of the health system of the country where it occurs. The vital prognosis of the mother and that of the fetus are most often at stake, as well as the subsequent fertility of the patient. Its frequency is increased for scarred uteri and increasingly rare for healthy uterus. Through this work, we present an atypical case of uterine rupture occurring in a non-scarred uterus in a context of eclampsia complicating severe preeclampsia in a 31-year-old patient diagnosed intraoperatively. We discuss through this case and the review of literature, the interest of keeping in mind that this complication can threaten any childbirth even when the diagnosis of other complication seems more conclusive the case of a retroplacental hematoma in our case. The clinical warning signs, the risk factors, the diagnostic methodology are crucial to the therapeutic management of this entity.