Third-trimester uterine rupture following previous salpingectomy for interstitial pregnancy: radiologic and surgical insights

BACKGROUND: Uterine rupture in the third trimester is a rare but life-threatening obstetric emergency, with greater likelihood in pregnant patients with a history of uterine surgery. CASE PRESENTATION: We present a unique case of uterine rupture at 30 weeks gestation in a patient with a recent surgical history of laparoscopic salpingectomy involving myometrial resection for interstitial ectopic pregnancy, who conceived five months after the procedure. This case provides valuable radiologic and surgical insights, highlighting the importance of imaging modalities in diagnosis and the potential risks associated with short interpregnancy intervals following prior uterine surgery. CONCLUSIONS: Early detection and prompt intervention are crucial for favorable maternal and fetal outcomes.