Asymptomatic uterine scar rupture: diagnostic value of ultrasound scan in an early postpartum period
Mashkova T.N., Baushkiner Yu.E., Gadzhieva U.Kh., Drozdova Yu.A., Sytova L.A., Matsukatova B.O.
Rationale. Given the increasing frequency of cesarean sections, uterine scar rupture remains a life-threatening obstetric complication. Its asymptomatic nature makes it particularly challenging to diagnose.
Case report. A rare case of asymptomatic complete uterine scar rupture is described in this article. The pregnancy was uneventful. A successful vaginal delivery was performed at 40 weeks of gestation. The patient's condition remained satisfactory after delivery, with no complaints or clinical symptoms of rupture. However, scar rupture with the formation of a hematoma was detected only during a routine ultrasound scan performed 30 minutes after delivery due to the obstetric history of the puerpera. An emergency laparotomy with organ-sparing metroplasty was carried out. The patient was discharged in satisfactory condition on the 4th day.
Conclusion. This case illustrates the possibility of asymptomatic uterine scar rupture after successful vaginal delivery. The classic clinical picture may be absent, which increases the risk of late diagnosis and the development of fatal complications. This case marks the high diagnostic value and potential need for routine use of ultrasound scan in the early postpartum period in patients with an uterine scar for the timely detection of such complication.
Authors’ contributions. Matsukatova B.O. – study concept and design, manuscript editing; Sytova L.A. – material collection and processing; Drozdova Yu.A. – statistical data processing, collection and analysis of relevant publications; Mashkova T.N., Baushkiner Yu.E., Gadzhieva U.Kh. – manuscript writing.
Conflicts of interest. The authors declare no conflicts of interest.
Funding. The study had no sponsorship support.
Generative Artificial Intelligence. No artificial intelligence tools were used in the preparation of this manuscript.
Patient Consent for Publication. The patient signed informed consent for the publication of her data.
For citation: Mashkova T.N., Baushkiner Yu.E., Gadzhieva U.Kh., Drozdova Yu.A., Sytova L.A., Matsukatova B.O. Asymptomatic uterine scar rupture: diagnostic value of ultrasound scan in an early postpartum period.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2026; (7): 189-192 (in Russian)
https://dx.doi.org/10.18565/aig.2026.52
Keywords
uterine scar
asymptomatic uterine rupture
laparotomy for uterine rupture
pregnancy after C-section
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Received 10.02.2026
Accepted 29.06.2026
About the Authors
Taisiia N. Mashkova, student, N.F. Filatov Children’s Health Clinical Institute, Sechenov University, 119991, Russia, Moscow, Trubetskaya str., 8 bldg. 2,mashkovataisia@mail.ru, https://orcid.org/0009-0005-0850-2202
Iuliia E. Baushkiner, student, N.F. Filatov Children’s Health Clinical Institute, Sechenov University, 119991, Russia, Moscow, Trubetskaya str., 8 bldg. 2, juliabau@yandex.ru, https://orcid.org/0009-0004-5327-1928
Umusalimat Kh. Gadzhieva, student, N.F. Filatov Children’s Health Clinical Institute, Sechenov University, 119991, Russia, Moscow, Trubetskaya str., 8 bldg. 2,
amintaevau@mail.ru, https://orcid.org/0009-0000-2710-4561
Yulia A. Drozdova, Teaching Assistant at the Children’s Diseases Propaedeutics Department, N.F. Filatov Children’s Health Clinical Institute, Sechenov University,
119991, Russia, Moscow, Trubetskaya str., 8 bldg. 2, drozdova_yu_a@staff.sechenov.ru, https://orcid.org/0009-0006-9979-7516
Lyudmila A. Sytova, PhD, Associate Professor at the Surgery Department, Kaluga State University named after K.E. Tsiolkovski, 248023, Russia, Kaluga, Stepan Razin str., 26, +7(910)994-81-48, https://orcid.org/0000-0002-5441-6090
Bella O. Matsukatova, PhD, Associate Professor at the Children’s Diseases Propaedeutics Department, N.F. Filatov Children’s Health Clinical Institute, Sechenov University, 119991, Russia, Moscow, Trubetskaya str., 8 bldg. 2, matsukatova_b_o@staff.sechenov.ru, https://orcid.org/0000-0003-0876-6548
Corresponding author: Bella O. Matsukatova, matsukatova_b_o@staff.sechenov.ru
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