Published in:
01-01-2016 | Case Report
Uterine rupture at 10 weeks of gestation after laparoscopic myomectomy
Authors:
Yoshiyuki Okada, Junichi Hasegawa, Takashi Mimura, Tatsuya Arakaki, Shinichiro Yoshikawa, Yuka Yamashita, Tomohiro Oba, Masamitsu Nakamura, Ryu Matsuoka, Akihiko Sekizawa
Published in:
Journal of Medical Ultrasonics
|
Issue 1/2016
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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.