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This case report details a 27\u2010year\u2010old gravida 3 para 1 woman at 14 weeks of gestation who experienced acute abdominal pain and hypovolemic shock. Despite the absence of previous uterine surgery, imaging revealed a significant hemoperitoneum, and subsequent emergency laparoscopic and laparotomy validated a uterine fundal rupture attributable to placenta accreta spectrum (PAS). The uterus was successfully preserved after surgical repair. Histopathological examination confirmed localized myometrial infiltration by placental tissue, consistent with PAS. This report emphasizes the necessity of including PAS\u2013related uterine rupture in the differential diagnosis of acute abdomen during early pregnancy, even when classical risk markers are absent. The example underscores the need of timely surgical intervention in securing positive mother outcomes and maintaining reproductive potential. The postoperative course was uneventful, and the patient was discharged in stable condition with preservation of uterine integrity. This article seeks to enhance clinical knowledge and promote vigilance among obstetricians and emergency physicians on early\u2010pregnancy uterine rupture by contributing to the scarce literature on the subject.<\/jats:p>","DOI":"10.1155\/crog\/9949364","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T06:18:13Z","timestamp":1777011493000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report on Spontaneous Uterine Rupture in the Early Second Trimester: A Rare but Life\u2010Threatening Event"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6225-3108","authenticated-orcid":false,"given":"Minh Tam","family":"Le","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3174-6414","authenticated-orcid":false,"given":"Ngoc Anh Thi","family":"Vo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1767-9334","authenticated-orcid":false,"given":"Duy Trong","family":"Tran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5518-2753","authenticated-orcid":false,"given":"Thanh Huyen Thi","family":"Ho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4744-7059","authenticated-orcid":false,"given":"Vu Quoc Huy","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"e_1_2_12_1_2","volume-title":"Williams Obstetrics","author":"Cunningham F. 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