Traumatic Uterine Rupture Sealed by a Hematoma: A Rare Case of Maternal and Neonatal Survival

Uterine rupture is a severe obstetric complication associated with high maternal and neonatal mortality, requiring prompt management. We report an unusual case of complete uterine rupture in a 38-year-old patient at 38 weeks of gestation, occurring several hours after a minor trauma. The patient presented to the emergency department with persistent pelvic pain and vaginal bleeding, symptoms that she had initially neglected. Clinical and fetal assessment revealed fetal heart decelerations, prompting an emergency cesarean section. During the procedure, a complete uterine rupture sealed by a 300cc hematoma was discovered. The newborn exhibited mild respiratory distress but progressed favorably, as did the mother following successful uterine repair. This case highlights the importance of clinical vigilance in monitoring patients with a history of cesarean section and demonstrates the potential for temporary stabilization of uterine rupture by hematoma formation, offering a critical window for intervention.