Uterine rupture after laparoscopic myomectomy.
Myomectomy is performed frequently to preserve or increase fertility, although the risk of future uterine rupture is a major concern of any surgery of the uterus. A 36-year-old woman underwent laparoscopic removal of a pendunculated myoma, and 6 weeks later she conceived after IVF. At 35.5 weeks' gestation she was admitted to the hospital because of abdominal pain. Cesarean section revealed rupture of the uterine wall at the site of the myoma. This and similar case reports indicate that inadequate laparoscopic suturing is not the only factor involved in rupture of the uterine wall during pregnancy after laparoscopic myomectomy.
Lieng
Marit
M
Department of Obstetrics and Gynecology, Ullevaal University Hospital, Oslo, Norway.
Istre
Olav
O
Langebrekke
Anton
A
D000328:Adult; D002585:Cesarean Section; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*; D014597:Uterine Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery