{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T20:03:13Z","timestamp":1771185793520,"version":"3.50.1"},"reference-count":26,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,9]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>\n                    Uterine rupture can occur in labour or spontaneously, but it is more common in a scarred uterus after a previous lower segment or classical caesarean section, open myomectomy or operative hysteroscopy for a congenital abnormality. The authors present the case of a multiparous woman (Gravida 10, para 5\n                    <jats:sup>+4<\/jats:sup>\n                    ) in her early 30s presenting with abdominal pain and vaginal bleeding at 22\n                    <jats:sup>+6<\/jats:sup>\n                    weeks of gestation. She was booked for high-risk antenatal care due to her history of preterm deliveries and a previous classical caesarean section at 25\n                    <jats:sup>+6<\/jats:sup>\n                    weeks of gestation. She was diagnosed with a fetal intrauterine death and a uterine rupture. She became haemodynamically unstable and developed disseminated intravascular coagulopathy. A laparotomy was performed. Intraoperatively, there was evidence of complete uterine rupture through the classical incision. The blood loss was 5.5 L. This case illustrates how the physical reserve of a young healthy woman may mask serious intra-abdominal pathology until she begins to decompensate, which is inevitably a late sign.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-265802","type":"journal-article","created":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T19:15:23Z","timestamp":1771182923000},"page":"e265802","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Uterine rupture in the second trimester with fetal demise"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5499-415X","authenticated-orcid":false,"given":"Louise","family":"Dunphy","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust, Middlewich Road, Crewe, CW1 4QJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"McCormack","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust, Middlewich Road, Crewe, CW1 4QJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanthi","family":"Pinto","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust, Middlewich Road, Crewe, CW1 4QJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Ford","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust, Middlewich Road, Crewe, CW1 4QJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,2,15]]},"reference":[{"key":"2026021511151587000_19.2.e265802.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.4931.96"},{"key":"2026021511151587000_19.2.e265802.2","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1111\/j.1445-2197.1966.tb03883.x","article-title":"Traumatic rupture of a couvelaire uterus","volume":"35","author":"Beischer","year":"1966","journal-title":"Aust N Z J Surg"},{"key":"2026021511151587000_19.2.e265802.3","doi-asserted-by":"crossref","DOI":"10.1155\/2020\/8878037","article-title":"Determinants of Uterine Rupture and Its Management Outcomes among Mothers Who Gave Birth at Public Hospitals of Tigrai, North Ethiopia: An Unmatched Case Control Study","volume":"2020","author":"Mengesha","year":"2020","journal-title":"J Pregnancy"},{"key":"2026021511151587000_19.2.e265802.4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0208470","article-title":"Uterine rupture among mothers admitted for obstetrics care and associated factors in referral hospitals of Amhara regional state, institution-based cross-sectional study, Northern Ethiopia, 2013-2017","volume":"13","author":"Getahun","year":"2013","journal-title":"PLoS ONE"},{"key":"2026021511151587000_19.2.e265802.5","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmm041"},{"key":"2026021511151587000_19.2.e265802.6","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1097\/00004347-199901000-00013","article-title":"Spontaneous uterine rupture with fatal hemoperitoneum due to placenta accretes: a case report and review of the literature","volume":"18","author":"DeRoux","year":"1999","journal-title":"Int J Gynaecol Pathol"},{"key":"2026021511151587000_19.2.e265802.7","unstructured":"Togioka BM , Tonismae T . 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