Uterine dehiscence in a nullipara, diagnosed by MRI, following use of unipolar electrocautery during laparoscopic myomectomy: Case report.
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.
Hasbargen
Uwe
U
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
Summerer-Moustaki
Margarita
M
Hillemanns
Peter
P
Scheidler
Jürgen
J
Kimmig
Rainer
R
Hepp
Hermann
H
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*