LAUSR

A 28-year-old woman (gravida 1, para 0) with previous radiofrequency ablation of uterine fibroids and presented at 27 weeks of gestation with vague lower abdominal pain that had worsened in 1 day. An abdominal computed tomography (CT) examination was taken, owing to worsening maternal pain and concern about appendicitis. Abdominal CT imaging revealed a complete rupture of the posterior uterine wall with fetus external to uterus. Emergency laparotomy was performed which revealed a stillborn male fetus in the abdominal cavity with completely separated placenta and amniotic sac. The site of uterine rupture was consistent with the site of previous radiofrequency ablation of uterine fibroids, and followed by repair of rupture site in layers (Fig. 1).