Sigmoido-uterine rupture in pregnancy after multiple myomectomy.
A case of rupture of the uterus during pregnancy with concomitant injury of the sigmoid is reported. This complication followed a multiple myomectomy performed during a previous pregnancy. The initial symptom was a septic fever. However two clinical signs proved pathognomonic for the diagnosis: the passing of blood clots and gas through the anus, and the presence of free gas in the abdomen. Hysterectomy with colostomy is the most suitable treatment.
D000328:Adult; D012809:Colon, Sigmoid / Q000293:injuries* / Q000601:surgery; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006801:Humans; D009215:Myometrium / Q000601:surgery*; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000601:surgery; D012421:Rupture; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery; D014599:Uterus / Q000601:surgery*