title: Iatrogenic uterine rupture caused by overinflation of RUMI manipulator balloon.
abstract: The RUMI uterine manipulator is a useful device for uterine mobilization and chromopertubation during laparoscopic surgery. We report two cases of iatrogenic uterine rupture caused by overinflation of the intrauterine balloon of the RUMI manipulator during chromopertubation. One rupture, which occurred on the uterine fundus, simply was sutured during surgery. The other rupture, which occurred into the uterine lateral wall, caused retroperitoneal hematoma. A second operation was required to treat this complication. Overinflation of the tip balloon of the RUMI manipulator during chromopertubation can cause uterine rupture that can result in massive hematoma.
authors.affiliation: Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan. 58436@cch.org.tw
authors.forename: Hsin-Hung
authors.initials: HH
authors.lastname: Wu
authors.forename: Guang-Perng
authors.initials: GP
authors.lastname: Yeh
authors.forename: Tsung-Che
authors.initials: TC
authors.lastname: Hsieh
mesh_terms: D000328:Adult; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D005184:Fallopian Tube Diseases / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000175:diagnosis / Q000601:surgery; D020706:Laparoscopes / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D007813:Laparotomy / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery