Iatrogenic uterine rupture caused by overinflation of RUMI manipulator balloon.
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.
Wu
Hsin-Hung
HH
Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan. 58436@cch.org.tw
Yeh
Guang-Perng
GP
Hsieh
Tsung-Che
TC
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