Spontaneous uterine rupture during a second trimester pregnancy with a history of laparoscopic myomectomy

Uterine rupture is one of the most feared obstetric complications, carrying an increased risk of maternal and perinatal morbidity and mortality. Here, we present a case of spontaneous uterine rupture during the first half of pregnancy. The patient did not report any recent trauma, however she had a...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2009-12, Vol.35 (6), p.1132-1135
Main Authors: Goynumer, Gokhan, Teksen, Ahmet, Durukan, Birol, Wetherilt, Lale
Format: Article
Language:English
Subjects:
Adult
Female
Humans
laparoscopic myomectomy
Laparoscopy - adverse effects
Pregnancy
Pregnancy Trimester, Second
uterine rupture
Uterine Rupture - etiology
Uterine Rupture - surgery
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Summary:Uterine rupture is one of the most feared obstetric complications, carrying an increased risk of maternal and perinatal morbidity and mortality. Here, we present a case of spontaneous uterine rupture during the first half of pregnancy. The patient did not report any recent trauma, however she had a history of laparoscopic myomectomy conducted three years earlier. The uterine rupture was 6–7 cm in length, located at the fundal level and was thought to originate from the previous myomectomy scar. In this report, we discuss the importance of choosing the right surgical technique and suturing method in patients undergoing myomectomy who desire to conceive in the future, and how obscure the findings of uterine rupture during pregnancy can be.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2009.01070.x