Hindawi Publishing Corporation Case Reports in Obstetrics and Gynecology Volume 2012, Article ID 598356, 3 pages doi:10.1155/2012/598356 Case Report Spontaneous Uterine Rupture of an Unscarred Uterus before Labour Mamour Gu` eye, 1 Magatte Mbaye, 1 Mame Diarra Ndiaye-Gu` eye, 1 Serigne Modou Kane-Gu` eye, 1 Abdoul Aziz Diouf, 1 Mouhamadou Mansour Niang, 1 Hannegret Diaw, 2 and Jean Charles Moreau 1 1 Clinique Gyn´ ecologique et Obst´ etricale, Centre Hospitalier Universitaire Aristide Le Dantec, Avenue Pasteur, BP 3001, Dakar, Senegal 2 Centre Hospitalier R´ egional Heinrich L¨ ubke, BP 278, Diourbel, Senegal Correspondence should be addressed to Mamour Gu` eye, mamourmb@yahoo.fr Received 3 September 2012; Accepted 30 September 2012 Academic Editors: E. Cosmi and P. De Franciscis Copyright © 2012 Mamour Gu` eye et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Uterine rupture is a public health problem in developing countries. When it is spontaneous, it occurs most often during labor in a context of scarred uterus. Uterine rupture during pregnancy is a rare situation. The diagnosis is not always obvious and morbidity and maternal and fetal mortality is still high. We report a case of spontaneous uterine rupture during pregnancy at 35 weeks of an unscarred uterus before labour. This is an exceptional case that we observe for the first time in our unit. 1. Introduction Rupture of a pregnant uterus is one of the life-threatening complications encountered in obstetric practice. It is a rare complication in developed countries, but is one of the causes of maternal and perinatal morbidity and mortality in Africa. There are several risk factors associated with rupture of uterus, but the most common is a previous Cesarean section. Rupture of an unscarred uterus is a rare event. We report a case of a complete rupture of the uterus before labor, in a gravid woman who had an unscarred uterus. 2. Case A 37-year-old patient, gravida 5 para 4, at 35 weeks of ges- tation was admitted to the hospital because of an abdominal pain since 18 hours, and vaginal bleeding. Her general med- ical history revealed no diseases or allergy. Her obstetrical history obtained by anamnesis and her documents revealed a multipara patient with a history of four pregnancies that ended spontaneously by vaginal delivery. Cesarean section has never been performed. Current pregnancy included 2 prenatal visits without sonographic examination. The patient was hemodynamically stable without ab- dominal tenderness or peritoneal signs. No fetal heart rate was detected. Vaginal examination revealed a closed cervix and no effacement or dilatation. Sonographic examination found an enlarged empty uterus, a fetus in the abdominal cavity, corresponding to 35 weeks of pregnancy (Figures 1(a) and 1(b)). The patient was rushed to the operating room for emergent laparotomy. At the opening of the abdominal wall, the whole intact amniotic sac with fetus inside was protruded into the abdomen (Figure 1(c)). After amniorexis, a male fetus of 2950 g was delivered. Further inspection showed posterolateral uterine rupture interesting the body and extending to the lower transverse segment (Figure 1(d)); the ipsilateral uterine pedicle was intact. Repair of the laceration was not possible. A hysterec- tomy was performed. No other complications were noticed during the operation and estimation of blood loss was