Uterine rupture is a rare disease, which usually presents in the form of a life-threatening emergency. It occurs most commonly after a vaginal birth after cesarean (VBAC) and is characterized by complete separation of the uterine incision throughout most of its length, involving all layers of the uterus. We present the case of uterine rupture in which the patient had no acute signs of rupture; instead, she presented with symptoms of generalized peritonitis. She presented 23 days after VBAC, with complaints of slight vaginal bleeding and a palpable abdominal mass. Leukocyte and platelet counts were raised, suggesting infection, which occurred due to the spread of fluid from the uterus to the abdomen through the scar defect. A total abdominal hysterectomy was performed due to widespread adhesions and a non-viable uterus. Our case was unusual as the presentation was delayed, with no acute symptoms of either uterine rupture or peritonitis. Uterine rupture can be fatal if not recognized and managed promptly.

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Pakistan has a burn mortality rate of 6.5%, with a considerable percentage of survivors suffering from long-term complications due to lack of rehabilitation. The aim of this review is to outline the important physiological and psychological after-effects of burn injuries. Relevant articles were included by conducting a comprehensive search between 20th March and 25th May 2020.  Psychological complications of burns include depression, post-traumatic stress disorder, anxiety, sleep disturbance, phobias, guilt, suicidal thoughts, and personality changes. Physiological complications include scarring, contractures, pain, muscle wasting, and hypothermia. Other complications include infections. The review revealed a scarcity of literature regarding the prevalence and impact of long-term complications in post-burn patients. Our findings include a lack of rehabilitative services and high rate of post-burn complications in Pakistan. Rehabilitation of burn patients should be a continuation of active treatment and should begin from the day of admission, to reduce the morbidity and improve the quality of life of burn patients. Keywords: Burns; physiology; psychology; rehabilitation; quality of life.

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