Background: Rupture of gravid uterus is one of the life-threatening obstetric emergencies. Uterine rupture, whether natural or caused by trauma, can result in higher mortality rates for both the mother and the infant. In cases of an unscarred uterus, the occurrence of rupture is estimated to be around 1 in 17,000 - 20,000 deliveries. When a uterus ruptures in the early stages of pregnancy, it often resembles the symptoms of a ruptured ectopic pregnancy. Case: A 24 years primigravida with two months of gestation had pain in abdomen since last 15 days and was under treatment for the same on outpatient basis. She arrived at the emergency room 2 days later with vaginal bleeding and difficulty breathing, but unfortunately passed away during treatment. There was no record of any bleeding disorders or regular medication use that could have caused the bleeding. On autopsy, a ruptured uterus was discovered at the point where the uterus meets the left fallopian tube. A macerated foetus along with blood & blood clots was also found in peritoneal cavity. Cause of death was ascertained as hemorrhage and shock due to rupture of gravid uterus. Various organ pieces, including the entire uterus with fallopian tubes and ovaries, as well as the distorted fetus, were saved for further histopathological analysis. Blood samples were also preserved for chemical analysis. Conclusion: Spontaneous rupture of the uterus during the early stages of pregnancy is uncommon. It typically happens later in pregnancy or during active labor, particularly in cases where the uterus has been previously scarred. However, it is also important to consider unnatural causes, such as criminal or unsafe abortions, as a potential factor.