Intrapartum posterior cul-de-sac rupture, a clinical enigma: a case report

International Journal of Surgery Case Reports 2026 Open access

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Authors: Manvi Mukherjee, Sagar Mandal, Aastha Malla, Pooja Paudyal, Suniti Joshi Rawal, Neeta Katuwal
DOI: 10.1097/rc9.0000000000000044
Cited by: 0
References: 4

Abstract

Introduction and importance: Posterior cul-de-sac rupture is a rare intrapartum complication with non-specific symptoms that impede timely diagnosis. Reported risk factors include genital tract anomalies, prior pelvic infection, cesarean scar, and pharmacologic induction (e.g., misoprostol). Case presentation: A 29-year-old primigravida presented at our Obstetrics and Gynecology department with fetal growth restriction at 38 weeks of gestation. Ultrasound revealed fetal growth restriction (an estimated fetal weight of 2196 g,

Fields of Study & Subjects

Maternal and Perinatal Health Interventions Maternal and fetal healthcare Gynecological conditions and treatments

Publication details

Journal / source
International Journal of Surgery Case Reports
Volume
138
Issue
2
Pages
150–153
Publication date
15 January 2026
Language
EN