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Uterine rupture during pregnancy soon after a laparoscopic adenomyomectomy

  • Case Report
  • Infertility Treatment
  • Published:
Reproductive Medicine and Biology

Abstract

Although laparoscopic adenomyomectomy may be a possible risk factor for uterine rupture in subsequent pregnancy, few reports have described it. A 35-year-old woman became pregnant 1 month after laparoscopic adenomyomectomy. At the 28th week, uterine contraction occurred, leading to intravenous ritodrine infusion. Severe abdominal pain and a non-reassuring fetal heart rate occurred abruptly and an emergency cesarean section was carried out. The uterus ruptured at the site of previous surgery of the uterine body, which was reconstructed. The mother and the infant did well postoperatively. We report the second case of uterine rupture during pregnancy subsequent to laparoscopic adenomyomectomy. A history of adenomyomectomy and a short interval to subsequent pregnancy may be risk factors for uterine rupture.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Yakushiji, 329-0498, Shimotsuke, Tochigi, Japan

    Yukako Morimatsu, Shigeki Matsubara, Nobuhiko Higashiyama, Tomoyuki Kuwata, Akihide Ohkuchi, Akio Izumi, Hiroaki Shibahara & Mitsuaki Suzuki

Authors
  1. Yukako Morimatsu
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  2. Shigeki Matsubara
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  3. Nobuhiko Higashiyama
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  4. Tomoyuki Kuwata
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  5. Akihide Ohkuchi
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  6. Akio Izumi
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  7. Hiroaki Shibahara
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  8. Mitsuaki Suzuki
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Corresponding author

Correspondence to Shigeki Matsubara.

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Morimatsu, Y., Matsubara, S., Higashiyama, N. et al. Uterine rupture during pregnancy soon after a laparoscopic adenomyomectomy. Reprod Med Biol 6, 175–177 (2007). https://doi.org/10.1111/j.1447-0578.2007.00182.x

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  • DOI: https://doi.org/10.1111/j.1447-0578.2007.00182.x

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