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Journal of Medical Ultrasonics

, Volume 43, Issue 1, pp 133–136 | Cite as

Uterine rupture at 10 weeks of gestation after laparoscopic myomectomy

  • Yoshiyuki Okada
  • Junichi HasegawaEmail author
  • Takashi Mimura
  • Tatsuya Arakaki
  • Shinichiro Yoshikawa
  • Yuka Yamashita
  • Tomohiro Oba
  • Masamitsu Nakamura
  • Ryu Matsuoka
  • Akihiko Sekizawa
Case Report

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

Uterine rupture Ultrasound Laparoscopic myomectomy 

Notes

Compliance with ethical standards

Conflicts of interest

The authors declare no relationships, financial or otherwise, that could lead to a conflict of interest.

Ethical considerations

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.

References

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Copyright information

© The Japan Society of Ultrasonics in Medicine 2015

Authors and Affiliations

  • Yoshiyuki Okada
    • 1
  • Junichi Hasegawa
    • 1
    Email author
  • Takashi Mimura
    • 1
  • Tatsuya Arakaki
    • 1
  • Shinichiro Yoshikawa
    • 1
  • Yuka Yamashita
    • 1
  • Tomohiro Oba
    • 1
  • Masamitsu Nakamura
    • 1
  • Ryu Matsuoka
    • 1
  • Akihiko Sekizawa
    • 1
  1. 1.Department of Obstetrics and GynecologyShowa University School of MedicineTokyoJapan

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