{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T21:59:54Z","timestamp":1778277594830,"version":"3.51.4"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:00:00Z","timestamp":1735776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Neglected Uterine rupture in an unscarred uterus is a rare but remains the most serious and fearsome complication in obstetrics, with high maternal and fetal risks, a neglected uterine rupture is rarer but more serious affecting the maternal prognosis with a high rate of hysterectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 36-year-old patient, presented on postpartum day 4 a pelvic pain, physical examination finds patient in shock, Ultrasound showed an enlarged uterus with a discontinuity on the right lateral edge and abundant peritoneal fluid reaching Morison's pouch. The patient underwent a necessary total interadnexal hysterectomy due to the presence of a partial uterine necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Neglected uterine rupture in an unscarred uterus is a rare but serious complication, occurring in approximately 1 in 10,000 pregnancies. Its incidence is higher in developing countries, largely due to socioeconomic disparities and restricted access to healthcare resources. Neglected Uterine rupture may arise from trauma or obstetric maneuvers and can occur without clear causes, as illustrated by studies finding cases of rupture without risk factors; the preferred treatment is conservative, but severe cases may necessitate a hysterectomy, especially when conservative options are not viable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Neglected uterine rupture in an unscarred uterus is rare and serious, with high mortality and morbidity, often requiring rapid multidisciplinary intervention due to diagnostic delays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.110830","type":"journal-article","created":{"date-parts":[[2025,1,5]],"date-time":"2025-01-05T01:41:40Z","timestamp":1736041300000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Neglected uterine rupture\u2026 myth or reality? - A case report"],"prefix":"10.1097","volume":"127","author":[{"given":"Youssef","family":"Essebbagh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khadija","family":"Errmili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saloua","family":"Iddouba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Othmane","family":"Elharmouchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najia","family":"Zeraidi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aziz","family":"Baidada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"7","key":"R1-25-20260325","doi-asserted-by":"crossref","first-page":"4079","DOI":"10.4103\/jfmpc.jfmpc_2325_21","article-title":"\u201cCase series of unscarred uterine rupture in primigravida,\u201d","volume":"11","author":"Trivedi","year":"2022","journal-title":"J. Fam. Med. Prim. Care"},{"issue":"5","key":"R2-25-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"issue":"10","key":"R3-25-20260325","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/j.gofs.2018.09.007","article-title":"Rupture ut\u00e9rine sur ut\u00e9rus non cicatriciel: \u00e0 propos de 10 cas","volume":"46","author":"Mulot,","year":"2018","journal-title":"Gyn\u00e9cologie Obst\u00e9trique Fertil. S\u00e9nologie"},{"issue":"3","key":"R4-25-20260325","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.femme.2012.04.009","article-title":"Rupture ut\u00e9rine spontan\u00e9e de d\u00e9couverte tardive sur ut\u00e9rus sain apr\u00e8s utilisation du misoprostol","volume":"22","author":"Khediri,","year":"2012","journal-title":"Imag. Femme"},{"key":"R5-25-20260325","doi-asserted-by":"crossref","first-page":"223","DOI":"10.11604\/pamj.2018.31.223.12906","article-title":"Rupture ut\u00e9rine sur ut\u00e9rus sain: complication du misoprostol (\u00e0 propos d'un cas et revue de la litt\u00e9rature)","volume":"31","author":"Belmajdoub,","year":"2018","journal-title":"Pan Afr. Med. J."},{"issue":"2","key":"R6-25-20260325","first-page":"162","article-title":"Rupture ut\u00e9rine spontan\u00e9e de d\u00e9couverte tardive sur ut\u00e9rus sain apr\u00e8s utilisation du misoprostol","volume":"40","year":"2011","journal-title":"P. Hagner\u00e9 and al Journal of Gynecology Obstetrics and Reproductive Biology"},{"issue":"10-11","key":"R7-25-20260325","first-page":"692","article-title":"\u201cRupture ut\u00e9rine sur ut\u00e9rus non cicatriciel : \u00e0 propos de 10 cas.\u201d","volume":"46","year":"2018","journal-title":"S. 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