Uterine rupture is a life-threatening obstetrical complication whose incidence has been increasing. Case: 27 years old patient, gravida two, para one, at 39w3d, referred from a District Hospital severely ill, Glasgow Coma Scale 10/15, BP: 70/42, Pulse: 134,Sat: 85% on room air and HB: 3,2g/dl. Ultrasound showed Free fluid in abdominal cavity,

uterine rupture, fetus out of the uterine cavity, no fetal heart activity seen. The patient was transferred to the theatre, delivered stillborn male baby, weighing 3221gr. There is a fundal uterine rupture that was extended until both uterine cornoas. Total Abdominal Hysterectomy was undertaken by Richardson Technique and the patient was discharged seven days later. Conclusion: Spontaneous uterine rupture is rare in the unscarred uterus.