Uterine rupture at 10 weeks of gestation after laparoscopic myomectomy

J Med Ultrason (2001). 2016 Jan;43(1):133-6. doi: 10.1007/s10396-015-0665-x. Epub 2015 Sep 4.

Abstract

The patient had a previous history of laparoscopic myomectomy. At 10 weeks of gestation, she visited our emergency center due to sudden abdominal pain. An ultrasound examination and MRI showed complete rupture of the uterine myometrium in the fundal wall and a floating gestation sac in Douglas' fossa with fluid. Emergency abdominal laparotomy was immediately performed due to the diagnosis of uterine rupture. During surgery, a small defect of the myometrium was found in the posterior fundal wall of the uterus. Two-layer suturing was performed at the perforation hole. The occasional occurrence of uterine rupture after surgery of the uterus even in the first trimester should be considered.

Keywords: Laparoscopic myomectomy; Ultrasound; Uterine rupture.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnostic imaging
  • Abdominal Pain / pathology
  • Abdominal Pain / surgery
  • Adult
  • Female
  • Humans
  • Laparoscopy*
  • Magnetic Resonance Imaging
  • Postoperative Complications / diagnostic imaging*
  • Pregnancy
  • Pregnancy Complications / diagnostic imaging*
  • Pregnancy Complications / etiology
  • Pregnancy Complications / pathology
  • Pregnancy Complications / surgery
  • Pregnancy Trimester, First
  • Ultrasonography
  • Uterine Myomectomy / adverse effects*
  • Uterine Myomectomy / methods
  • Uterine Rupture / diagnostic imaging*
  • Uterine Rupture / etiology
  • Uterine Rupture / pathology
  • Uterine Rupture / surgery
  • Uterus / diagnostic imaging
  • Uterus / pathology