Uterine rupture at 10 weeks of gestation after laparoscopic myomectomy
- 233 Downloads
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.
KeywordsUterine rupture Ultrasound Laparoscopic myomectomy
Compliance with ethical standards
Conflicts of interest
The authors declare no relationships, financial or otherwise, that could lead to a conflict of interest.
All of the procedures performed in the present study were carried out in accordance with the ethical standards of the responsible committees on human experimentation (institutional and national) and the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients included in the study.