Perinatology.  2019 Sep;30(3):171-174. 10.14734/PN.2019.30.3.171.

Repetitive Spontaneous Uterine Rupture in the First Trimester after Laparoscopic Myomectomy: A Case Report and Review of Literature

• Kim S
• Cho HJ
• Park HS
• Lee CH
• Yoon SH
• Roh JW
• Kwon H

• KMID: 2460031
• DOI: http://doi.org/10.14734/PN.2019.30.3.171

Abstract

Uterine rupture during pregnancy is one of the most life-threating complications to both mother and fetus. Uterine rupture after myomectomy generally occurs in the third trimester or during labor, therefore, uterine rupture in the first trimester is a very rare complication. Laparoscopic myomectomy scores over laparotomy in several parts. However, the possibility of uterine rupture in the following pregnancies should not be underestimated. We present a case of repetitive spontaneous uterine rupture in the first trimester (7 weeks and 10 weeks) and discuss strategies to prevent uterine rupture following laparoscopic myomectomy.

Keyword

Uterine rupture; Uterine myomectomy; Laparoscopic surgery; Pregnancy trimester, first

MeSH Terms

Female
Fetus
Humans
Laparoscopy
Laparotomy
Mothers
Pregnancy
Pregnancy Trimester, First*
Pregnancy Trimester, Third
Uterine Myomectomy
Uterine Rupture*

Figure

• 

  Fig. 1 Ultrasonography image of invisible gestational sac within intrauterine cavity. The arrow showed disconnected myometrial layer and broken myometrium. The heterogeneous lesion measures about 3.3×1.9 cm in size, presumed ongoing hematoma due to perforated uterus.

• 

  Fig. 2 Massive hemoperitoneum in the pelvic cavity at first sight of diagnostic laparoscopy.

• 

  Fig. 3 Operative image of uterine rupture at the fundal site during abdominal exploration.

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