Spontaneous uterine rupture in a patient who had previously undergone laparoscopic myomectomy (Case Report)
Abstract: Following
laparoscopic myomectomy, uterine rupture during pregnancy or delivery in the
area of the scar is a very rare but dangerous complication. Individual cases of
uterine rupture during pregnancy are described in the literature. Case report
of uterine rupture during delivery in a patient who had previously undergone
laparoscopic myomectomy. In the case presented here, the patient conceived 6
months after an 3.5 cm intramural myoma, had been laparoscopically removed. No
symptoms suggesting uterine rupture were observed during the pregnancy, but in
the first stage of delivery the condition of the patient deteriorated and
symptoms of oligaemic shock developed. A laparotomy was performed, which showed
the presence of 2100 gr fresh dead fetus in the abdominal cavity and ruptured
uterine muscle in the scarred area about 5 cm. In patients who have previously
undergone a laparoscopic myomectomy, there is some risk of uterine rupture at
delivery. This is also the case where unappropriate suturing of the uterine
muscle had been required.
Author: Wachyu Hadisaputra
Journal Code: jpkedokterangg050120
