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Uterine rupture is a rare and catastrophic event. We present a case of spontaneous rupture in an unscarred uterus with massive internal bleeding during tocolysis in the third trimester. A 31-year-old woman, gravida 5, para 2, was admitted to our hospital at 32 weeks of gestation because of lower abdominal pain, fever, and chills. She had no history of gynecologic surgery except for two suctional...