Figure 1

Schematic diagram of the laparotomy findings. The uterine rupture was not initially discernable. Bleeding was observed from the rupture edge (arrow). Her small intestine tightly adhered the anterior uterine wall. After separating the small intestine, uterine rupture became evident; her small intestine covered and occluded the uterine rupture. Amniotic membrane beneath the rupture site remained intact.