The case of young primigravida pregnant women with spontaneous gastic rupture in perinatal period was reported. Rapid obsteric intervention during caesarean section made possible the survival of the neonatant. Prompt surgical laparotomy was performed with excision necrosis part of the stomach wall. The wall was repaired what gave the positive therapeutic effect. Authors indicate on diagnostic troubles, the way of obstetric and surgical treatment and complications in postoperative course.