title: Uterine dehiscence in a nullipara, diagnosed by MRI, following use of unipolar electrocautery during laparoscopic myomectomy: Case report.
abstract: Uterine scar dehiscence following laparoscopic myomectomy (LM) is a rare event. We present a case of an magnetic resonance imaging-diagnosed uterine dehiscence in a primigravid patient at 29 weeks gestation, following a laparoscopic subserosal myomectomy, performed using unipolar electrocoagulation. Pregnant patients with a history of prior surgery where unipolar electrocoagulation is used on the uterus should be closely followed throughout pregnancy and uterine dehiscence or rupture should be part of the differential diagnosis when they present with abdominal pain.
authors.affiliation: Departments of Obstetrics and Gynaecology and Diagnostic Radiology, Klinikum der Universität München, Grosshadern, Marchioninistr. 15, D-81377 Munich, Germany. uwe.hasbargen@med.uni-menchen.de
authors.forename: Uwe
authors.initials: U
authors.lastname: Hasbargen
authors.forename: Margarita
authors.initials: M
authors.lastname: Summerer-Moustaki
authors.forename: Peter
authors.initials: P
authors.lastname: Hillemanns
authors.forename: Jürgen
authors.initials: J
authors.lastname: Scheidler
authors.forename: Rainer
authors.initials: R
authors.lastname: Kimmig
authors.forename: Hermann
authors.initials: H
authors.lastname: Hepp
mesh_terms: D000328:Adult; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D010535:Laparoscopy; D018231:Leiomyomatosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000473:pathology; D013529:Surgical Wound Dehiscence / Q000175:diagnosis* / Q000473:pathology; D014594:Uterine Neoplasms / Q000601:surgery*