[Acute abdominal pain during ongoing pregnancy was spontaneous uterine artery rupture. A rare and life-threatening condition].

This case report illustrates a very rare and very serious complication during ongoing pregnancy, namely spontaneous rupture of the uterine artery. Late diagnosis increases the morbidity and mortality for the foetus as well as for the pregnant woman. Angiography gives the diagnosis. In the differential diagnosis of acute abdomen in a pregnant woman spontaneous rupture of the uterine arteries as the cause of intra abdominal bleeding during the second and third trimester should be included, especially with a history of endometriosis.